Fantasy Camper Section

Fantasy Camper Profile

This will be used by our Fantasy Camp directors to learn more about you, and also to show you a modified version of what the Contestants fill out for their judges.

Name*
Please enter the name you wish to be called on stage.
First Last
Age*
Hometown*
School*
Grade*
Which grade are you in?
Questions
What do you want to be when you grow up?*
What is your favorite subject and why?*
What are your favorite activities and hobbies?*
Which movie star would you like to meet and why?*
Tell us something unique about you! (Wiggle your ears?, Touch your nose with your tongue?…something fun!)*
Corrections & Updates
Should you need to update or correct a previously submitted profile, you may complete the form as many times as needed. We will use the form that has the most current date & time of submission.
Enter Email & Submit
Email*
Enter Email Confirm Email

Your email address will only be used to send you a confirmation of your submission. This will not be included on the Camper Profile.

Save and Continue Later

MC Card

This will be the information the MC will use to describe you during competition.

Name*
Please enter the name you wish to be called on stage.
First Last
Age*
Hometown*
Parent's Names*
Interests
Fun Fact*
Fun Fact 1 of 3
Fun Fact*
Fun Fact 2 of 3
Fun Fact*
Fun Fact 3 of 3
Corrections & Updates
Should you need to update or correct a previously submitted profile, you may complete the form as many times as needed. We will use the form that has the most current date & time of submission.
Email*
Enter Email Confirm Email

Your email address will only be used to send you a confirmation of your submission. This will not be included on the MC Card.

Save and Continue Later

Health Information and Release of Liability

Name*
First Last
Age*
Pageant Weekend Emergency Contact - Name*
Pageant Weekend Emergency Contact - Phone Number*
Relationship to Fantasy Camper*
Current Medications*
Medical Conditions*
Medication Allergies (e.g. Penicillin)*
Mother's Name*
Please list your mother's first and last name. Should you choose not to list anyone, please enter "None" in the field above. If your mother is deceased, please enter "Deceased."
Mom's Cell Phone*
If you did not enter your mother's name in that field, please enter "000-000-0000" in this field.
Father's Name*
Please list your father's first and last name. Should you choose not to list anyone, please enter "None" in the field above. If your father is deceased, please enter "Deceased."
Father's Cell Phone*
If you did not enter your father's name in that field, please enter "000-000-0000" in this field.
Release
In consideration of participating in the Miss USA State Pageant Fantasy Camp and it's related events and activities, I agree that:
1. There are inherent risks of injury.
2. I knowingly assume those risks and agree to indemnify and hold harmless, the Miss USA Organization, the Miss Universe Organization or the sponsoring state directors, Paula Miles, Ryan Miles, and RPM Productions, Inc. for all injuries sustained, except those caused by the sponsoring director’s sole negligence.
Release of Liability
- I, the parent or legal guardian of above named camper, have read this release of liability and assumption of risk agreement, I fully understand its terms and sign it voluntarily.
Parent/Guardian Signature*
Parent/Guardian - Date Signed*
MM slash DD slash YYYY
Email*
Enter Email Confirm Email

Your email address will only be used to send you a confirmation of your submission.

Save and Continue Later

Fantasy Camper Profile

Questions

Corrections & Updates

Enter Email & Submit

MC Card

Interests

Corrections & Updates

Health Information and Release of Liability

Release