Application

Select One *

(Please select your age division)

Pre-Teen

Teen

Miss

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Select One *

(Please select your age division)

Pre-Teen

Teen

Miss

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

(###)

###

####

Cell Phone *

(###)

###

####

Do you have a Facebook page? *

(Please select one)

Yes

No

Twitter? *

If yes, please enter account name below)

Yes

No

Instagram? *

(If yes, please enter account name below)

Yes

No

Snapchat? *

(If yes, please enter account name below)

Yes

No

I am a female citizen of the United States *

Agree

Disagree

At least one of the following statements is true: *

A) Must now reside in North Carolina as my permanent and primary residence for a period of at least three (3) months immediately preceding the beginning of the pageant (although I may have attended college or university elsewhere); or B) Must have resided in North Carolina as a full-time student at a school, college, or university and will complete or have completed one entire semester, trimester, or summer session by December 31st of the pageant year, and I will continue to reside in North Carolina as a full-time student at the same school, college, or university through the State Pageant (although I may have spent or be spending the summer in another state) Furthermore, I understand that if I choose to compete in and win the state pageant of my choice, I will continue to reside in North Carolina through the corresponding national pageant. Note: Multiple forms of residency documentation will be required for state and national pageants.

Agree

Disagree

If entering as a Pre-Teen or Teen contestant, I am not married, have never been married, and have never had a marriage annulled. Pre-Teen and Teen contestants must choose Agree or Disagree. Miss contestants select Non-Applicable. *

Agree

Disagree

Non-Applicable for Miss Contestants

If entering as a Pre-Teen or Teen contestant, I am not pregnant and have never given birth to a child. Pre-Teen and Teen contestants must choose Agree or Disagree. Miss contestants select Non-Applicable. *

Agree

Disagree

Non-Applicable for Miss Contestants

I have never had semi-nude or nude photos or footage taken of me. *

Agree

Disagree

I have never participated in a NATIONAL pageant representing the state pageant I choose to compete in with the winning prize if I am named a winner. *

(Participation in STATE or LOCAL PRELIMINARY pageants within your chosen system should not apply. It is each contestant’s responsibility to confirm any specific qualifications for the pageant system in which you choose to compete should you be named a winner.)

Agree

Disagree

Parent Home Phone *

(###)

###

####

Parent Cell Phone *

(###)

###

####

Agreement (Please Read and Agree Below) *

I have completed my application for the Autumn Eve Productions pageants (Miss Triangle Area and City of Oaks, Miss Triangle Area Teen and City of Oaks Teen, or Miss Triangle Area Pre-Teen and City of Oaks Pre-Teen) factually. I understand that any falsified or misleading information may be grounds for my disqualification and/or removal of title. I have read and agree to all the provisions in the Delegate Contract. I certify that I am a citizen of the United States. I understand that I must also submit proof of age with a copy of my drivers license or birth certificate, upload a photograph of myself, and submit payment for the entry fee prior to the deadline date.

Agree

Agreement of Parent or Legal Guardian (Please Select One Below) *

I am the parent or legal guardian of the contestant and I have thoroughly reviewed the information and Delegate Contract terms. I agree to allow my child to participate in the pageant according to the terms herein.

Agree

I am 21 years of age or older and do not require parental consent