Please Select Division/Age Group Teen
Miss
First Name
Last Name
Email
Parents Email if Under 18
Address
City and Zip
Phone Number
Date of Birth
Your Place of Employment or School You Attend - List any degrees attained, scholarships & achievements
On Social Media? If so, please provide the URL's (links) to each of your pages
List Your Hobbies & Favorite Sport
Describe Your Life Ambition
Have You Won Any Title(s) or Award(s)?
Do You Have Any Special Training in Music, Dance, Art, etc.?
Please List Your Community Service Involvement
What Person Would You Most Like To Meet And Why?
Briefly Describe The Moment In Your Life You Are Most Proud Of
What does “sisterhood” mean to you, and how do you exemplify it in your everyday life?
Describe how you typically respond when you face conflict or misunderstanding with another person. Why do you respond that way?
Tell us about a time you consciously uplifted another young woman—even when no one was watching. What did it teach you about leadership or character?
To you, what does being a titleholder truly represent beyond wearing a crown or receiving a sash?
Have you represented a team, brand, or group in the past (school, sports, pageants)? How did you honor that role if selected?
If chosen, you will be required to create regular social media content, attend events, and model for PDP-approved projects. Are you prepared to make those responsibilities a priority throughout your term? Yes
No
Please share one social media post (insert link below) that you feel best represents your character. Tell us why you chose it.
Please provide any other interesting information about yourself, which has not been stated by preceding questions. Remember that this information may be used for press releases & television commentary as well as background material for the judges.
By checking this box, you understand that if you are chosen as Miss or Teen, you will be required to participate in a state or national pageant that is approved by PDP. The Purchase District Pageant will cover half your entry fees and up to 100% of costs based on your Purchase District community involvement.
I understand that at NO TIME are funds paid for Purchase District Pageant refundable or transferable to another contestant. And by clicking yes and submitting this form, I waive all right to refund should I choose not to participate in the event I registered for.
By checking the box, I hereby grant Purchase District Pageant the absolute right to reproduce, display and disseminate worldwide and in perpetuity, in any traditional or electronic media format, my likeness as shown in the photographs/films captured at this time for the purposes promoting this pageant and organization.
I understand that I am to submit the required photos and schedule a Zoom interview in order to be considered.
By checking the box, I have read and agree to terms set forth in the rules and regulations/code of conduct linked above.
SUBMIT APPLICATION
