APPLICATION: 23rd Annual 2023 Miss Teen Promise Mother-Daughter-Mentor Female Prep. Experience

Registration Form

To register for the 23rd Annual 2023 Miss Teen Promise Mother-Daughter-Mentor Female Preparatory & Scholarship program, please answer the following questions to the best of your ability.

To complete the application process, applicants must complete the Application Checklist at the end of this registration form.

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* 1. What is your name, mailing address, phone number and age?

First Name:

Last Name:

Address:

City:

Zip Code:

County:

Phone Number:

Age:

Birth Date:

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* 2. What is the name of your parents/guardian?

Mother's Name:

Father's Name:

Guardian's Name:

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* 3. What is your email address and parents/guardian email address?

Applicant's Email:

Parent's Email:

Guardian's Email:

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* 4. What is your Miss Teen Promise age category?

6-8 Little Miss

9-11 Princess

12-15 Jr. Teen

15-18 Miss Teen

19-25 Lady Ms.

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* 5. What school do you attend?

Name of School:

Grade:

Grade Point Average:

What is your favorite subject in school?

What is your least favorite subject in school?

Who is your favorite teacher and why?

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* 6. Which race/ethnicity best describes you?

White

Black or African-American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

Hispanic or Latino

Some other race (please specify)

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* 7. What is your talent ability?

Dancer

Monologue/Spoken Word

Play Instrument

Singer

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* 8. Tell us about size needed and your gift wish list.

My T-shirt Size:

My Dress Size:

My Formal Dress Size:

My Shoe Size:

My Pant Size:

My Technology Gift wish:

My Jewelry Gift wish:

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* 9. What do you know for sure?

If I were a jewel, I would be a:

My three favorite colors are:

My favorite food is:

My favorite exercise is:

The best thing about me is:

If I could write a book about my life, the title would be:

My favorite song is:

My favorite thing to do is:

Who is your best friend and why?

If I could have one wish come true, I would wish for:

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* 10. I certify that my answers are true and complete to the best of my knowledge. I have my parents/guardians permission to submit this application.

To be considered for a Mother & Daughter Team Prize enter registration code: #MTP23MD. Prizes will be awarded at the Mother-Daughter-Mentor Virtual Orientation.

I will complete the Application Checklist now by emailing my participant photo, birth certificate, transcript/report card and paying my $23 Application Processing Fee: Pay Application Fee Now by clicking here you will be redirected to the www.missteenpromise.com Application page and the Pay Application/ Sponsorship Fee Section. Click donate button and pay. Thank you!

Applicant's Name:

Registration Code: