miss entry form 2012

7/31/2019 Miss Entry Form 2012

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The enclosed Official Entry Form/Contract is the standard agreement for all contestants competing in the MISS USA & MISS TEEN USA state pageants. All contestants must complete this form/contract so that in the event that you are named your states delegate to the nationalpageant, no unforeseen questions arise regarding your eligibility to compete in the national competition. Simply follow the directions carefully,and return this entry form/contract with rest of the registration materials. If you have any questions, feel free to email or call us.

DIRECTIONS

Please thoroughly read the complete Official Entry Form/Contract. ALL PAGES - Initial the bottom of every page of the Official Entry Form/Contract PAGE 1 - In the blank at the top of the page, fill in your name. PAGE 1 - In the blank at the top of the page, fill in the state in which you are competing. PAGE 1 - Attach photocopies of the residency documents as outlined below (and listed in Section 1, Item (e), Subsection 1 & 2).

o I now reside and have resided in my State as my permanent and primary residence (as defined below) for a period of atleast six consecutive months immediately prior to the commencement of the State Pageant (although I may have attendedschool, college or university on a full-time basis elsewhere) and, if employed, I am employed in my State (although I mayoccasionally travel outside my State on behalf of my employer). Permanent and primary residence means my true, fixedand permanent domicile which I intend to make my permanent home. In order to establish my compliance with theseresidency requirements, I am attaching photocopies of at least two of the following types of bona-fide documents, at leastone of which must be of document type (a) through (e): (a) my drivers license; (b) my voter identification or registrationcard; (c) my resident tax return from the most recent tax year; (d) lease or deed for a dwelling in my name (evidencingoccupancy of dwelling for at least six months immediately prior to the commencement of the State Pageant); (e)employment documents in my name (Form W-4 and pay stubs only); (f) my current school records (e.g., transcript orreport cards with my address); (g) telephone or utility bills in my name (both the current bill and a bill dating back at leastsix months immediately prior to the commencement of the State Pageant); and (h) bank or credit card statements in myname (both the current statement and a statement dating back at least six months immediately prior to thecommencement of the State Pageant). I will maintain such residency through the State Pageant and, if I win the StatePageant, through the 2012 Miss USA Pageant. I understand and agree that you have the right to reject information ordocumentation you feel has not been gathered or provided in good faith.

o I have resided in the State as a full time student at a school, college or university for one entire semester, trimester orsummer session immediately prior to the commencement of the State Pageant and I am still enrolled as a full time studentat my school, college or university and will continue to reside in the state (although I may have spent or be spending thesummer in another State). In order to establish my compliance with these residency requirements, I am attaching bona-fide copies of my current school records (e.g., transcript or report cards). I understand and agree that you have the right toreject information or documentation you feel has not been gathered or provided in good faith. I will maintain suchresidency through the State Pageant and, if I win the State Pageant, through the 2012 Miss USA Pageant.

PAGE 2 - Check TRUE of FALSE at the bottom of statement at Section 1, Item (e), and explain if the answer is FALSE. PAGE 2 - Fill in your birth date on the designated space on Section 1, Item (f). PAGE 2 - Attach a photocopy of your birth certificate, as stated in Section 1, Item (f). If you were not born in the United States, please

attach a photocopy of your passport or naturalization papers, as stated in Section 1, Item (f).

PAGE 3 - Check TRUE of FALSE at the bottom of statement at Section 1, Item (i), and fill in the information if the answer is FALSE.

PAGE 3/4 - Check TRUE of FALSE at the bottom of statement at Section 1, Item (k), and fill in the information if the answer is FALSE. PAGE 4 - Check TRUE of FALSE at the bottom of statement at Section 1, Item (m), and fill in the information if the answer is FALSE. PAGE 8 - Check TRUE of FALSE at the bottom of statement at Section 9, Item (a), and explain if the answer is FALSE. PAGE 11 - Sign, date, and print your name on the designated spaces at the end of the document. If you are under the age of 18, have a parent/guardian sign, date, and print his/her name on the designated spaces at the end of the

document.

Return the Official Entry Form/Contract with the rest of the registration materials.

Directions for completing the OFFICIAL ENTRY FORM/CONTRACT

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miss entry form 2012

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