TINY MISS APPLICATION: 20th Annual Miss Teen Promise Female Preparatory & Scholarship Program

Registration Form

To register for the 20th Annual Tiny Miss Teen Promise Female Preparatory & Scholarship program, please answer the following questions to the best of your ability.

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

Tiny Miss Registration $100 / Additional Entry Categories: Outstanding Talent $25 / Outstanding Beauty $25 /

Miss Photogenic $25

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* 1. What is the Tiny Miss applicant's 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 the applicant's parents/guardian?

Mother's Name:

Father's Name:

Guardian's Name:

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* 3. What is the parents/guardian email address?

Parent's Email:

Guardian's Email:

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* 4. I want to enter my child in one of the following Tiny Miss Categories:

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* 5. What school does the Tiny Miss applicant attend?

Name of School:

Grade:

What is your favorite subject in school?

What is your least favorite subject in school?

Who is your favorite teacher and why?

What do you like most about school?

What are your Top 3 Academic Achievements?

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* 6. Which race/ethnicity best describes the Tiny Miss applicant?

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 the Tiny Miss applicant's talent ability?

Dancer

Monologue/Spoken Word

Play Instrument

Singer

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* 8. Tell us about some gift items that should be in the Tiny Miss Teen Promise Hidden Gift Treasure Chest?

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:

My Toy wish:

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* 9. Tiny Miss applicant, 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:

My Top 2 Talent Abilities are:

My Top 2 Career Choices are:

My favorite song is:

My favorite thing to do is:

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* 10. As the parent/guardian, I certify that my answers are true and complete to the best of my knowledge.

OPTION 1- I will complete the Application Checklist by emailing the applicant's photo, transcript/report card and pay my Application Processing Fee Now: Pay Tiny Miss Application Fee NOW and pay the Tiny Miss Teen Promise Registration Fee by Saturday, July 22, 2017.

OPTION 2- I will complete the Application Checklist by emailing my photo to info@missteenpromise.com; Mailing a copy of my transcript/report card and $25 Application Processing Fee made payable to Teen Promise, Inc., P.O. Box 192441, Little Rock, AR 72219 by June 24, 2017; and, pay the Tiny Miss Registration Fee by Saturday, July 22, 2017.

Parent/Guardian Name:

TOTAL TINY MISS REGISTRATION FEE DUE: $