Please fill out the entire application. Thank You!
Click on your age division in the drop down menu next to the pink arrow. Age divisions are attained by the contestant's age as of January 1, 2018
Today's Date: 00 / 00 / 0000
Parent or Guardian First & Last Name(s)
Name of School, City and State Included
Miss Jr. America Scholarship Pageant, LLC., 2018
Black Diamond Entertainment 2018
All Rights Reserved
Please list below next to the pink arrow: your hobbies, what activities your are involved in and what you enjoy doing in your spare time:
A $95.00 Registration Fee and a $200.00 Deposit must be submitted with your application.
Registration, Deposit and Sponsorship Fees are NON-REFUNDABLE
I acknowledge that ALL Fees are NON Refundable .
$295.00 Registration Fee and Deposit are Included
Please Select Which Credit Card You would like to use
Address for this Credit Card
Phone Number Associated with this Credit Card
If you were referred by a friend, whom may we thank?
THE M.I.S.S T.E.E.N JR T.E.E.N PRET.E.E.N PAGEANT
Official State Appointed Application