Official Contestant Entry Form Which Competition Are You Applying For?*(If you were born during 2004, you can compete in either division)Select OneMiss South Carolina USA (Born during 1995-2004)Miss South Carolina Teen USA (Born during 2004-2008)Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone Number*Email* Enter Email Confirm Email Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School/College Grade/Year Occupation(if applicable) InstagramJust your username is necessary in this field. The @ symbol is not required. Example: rpmproductions TikTokJust your username is necessary in this field. The @ symbol is not required. Example: rpmproductions FacebookThis will just be used as another contact method for you. Please include the whole link to your Facebook page. Example: https://www.facebook.com/rpmproductions Parent/Guardian's Contact InformationIf you're under the age of 18, please fill out your parent/guardian's contact information.Parent/Guardian's Name First Last Parent/Guardian's Cell PhoneParent/Guardian's Email Enter Email Confirm Email Title Choices & PhotoPlease list up to 3 titles that you would like to use on your competition sash at the pageant.*Examples: Lafayette, Lake Martin, Reedy River, Aiken County. (These can be your hometown, your county, a geographical region, etc.)Attach Your Photo Here*** For office reference only. Not for print in the program book. You will have the opportunity to submit your official headshot at a later date. ***Accepted file types: jpg, heic, gif, png, pdf, Max. file size: 64 MB.Eligibility RequirementsPlease read all of the eligibility requirements.*• I am a citizen of the United States • I meet the age requirements for this year’s pageant • I am recognized legally as female in the United States • I have never been married or had a marriage annulled • I have never given birth to a child, am not a parent/guardian, and am not currently pregnant • I have never had semi-nude or nude photos or footage taken of me • I will have lived in South Carolina for at least 3 months prior to the pageant or am currently a full time student in South Carolina I agree all of the statements listed above are are trueHiddenEligibility* Please check the box if all of the following statements are true: I am a citizen of the United States and will be able to provide either a US Birth Certificate or Naturalization Papers. I have never been married or had a marriage annulled I have never given birth to a child, am not a parent, and am not currently pregnant I meet the age requirements for this year’s pageant I am recognized legally as female in the United States How Did You Hear About The Pageant?*Select OneI linked from your Facebook pageI linked from your Instagram accountI watched the Miss USA pageant on FOXI watched the Miss Universe pageant on FOXI heard about the Miss Teen USA national pageantI received information in an emailI received information in the mailI received a brochureI received information from my Guidance CounselorI searched for the pageant onlineMy friend told me about the pageantMy friend competed in last year's pageantMy friend is competing in this year's pageantThe current titleholder told me about itA recruiter gave me informationI linked to the state pageant from www.missusa.comI linked to the state pageant from www.missteenusa.comOtherAll Fees Are Non-Refundable* I understand that as soon as I submit this application and initial payment, RPM Productions automatically makes the necessary plans for my participation in the pageant. Therefore, if I should drop out of the pageant, there will be no refund of the initial payment, nor for any fees paid subsequent to the initial payment. All fees paid are not transferable. Δ
