Miss Teen, Jr. Teen & Teeny America Personal History Form
Name:____________________________________________________ Age:________________
Address:______________________________________Apt. No.__________ Zip:___________
City:__________________________ County:_____________________ State:______________
Date of Birth: ___________________ SS#_________________ Telephone (H) ______________
Height:______ Weight:______ Bust:______ Waist:______ Hips:______ T-Shirt Size __________
Dress Size:________ Shoe Size:________ Hair Color:_______________ Eye Color:___________
School:___________________________________________Year/Grade in School:__________
E-Mail:______________________________________________________________
Hobbies:_______________________________________________________________________
Talent:_________________________________________________________________________
Other Education:_________________________________________________________________
Clubs and Groups you belong to in school:_____________________________________________
______________________________________________________________________________
Three Words that describe you:_____________________________________________________
Honors and Awards:______________________________________________________________
Favorite Foods:__________________________________________________________________
Career Goals:____________________________________________________________________
Mother's Name:___________________________________ Occupation:____________________
Address:_________________________________________ Work Phone:____________________
Father's Name:____________________________________ Occupation:____________________
Address:_________________________________________ Work Phone:____________________
How did you hear about the
pageant?________________________________________________
Please print this form and fill out
completely. Sign and return with your nonrefundable application fee and a
recent photo or snapshot. Make all checks
payable to and
return to:
|
Miss Teen America Program P.O. Box 330 Middletown, CT 06457 |
___________________________________________________________ Contestant's Signature Date
___________________________________________________________ |