Appointed Representative Program Application
Welcome to the Appointed Representative Program Application. If you plan to compete in the upcoming National Pageant, May 1, 2023 is the deadline to have your application submitted for the state queen’s title. We will continue to accept applications after May 1st for any remaining state or city titles still available. If you are under 18 years old, please have a parent or guardian register for you.
If you have any questions please email Tiffany Reilly at firstname.lastname@example.org
You will need to submit the following to complete this form:
If you are under 18 years old, please have a parent or guardian register for you.
Answer the questions on this form
Upload Personal Introduction Video Link
Pay Non-Refundable $50.00 Registration Fee
*IMPORTANT* All of these steps must be completed in order for your application to be processed. If any of the steps is not completed you will have to re-submit this form at a later date.