Miss America & Miss America's Teen Registration Form

Are you registering for the Teen or Miss program? If your birth year is 1996 to 2006, you are in the Miss program. If your birth year is 2006 to 2010, you are in the Teen program. If You Are Born In 2006 You May Choose Either Teen Or Miss. *

Name of Local Competition - California

Contestant Name *

Contestant Email *

Contestant Phone Number *

Contestant Address *

City *

Postal/zip code *

Date of birth *

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