Local Contestant Application

Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Interest in which State Pageant? *

Miss North Carolina Volunteer

Miss North Carolina Teen Volunteer

North Carolina Volunteer Princess Program

Parent Contact Name *

First Name

Last Name

Parent Contact Phone *

(###)

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Adult authorized to pick-up Teen, Princess Program contestant (ID required)

First Name

Last Name

Date of Birth *

MM

DD

YYYY