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MISS IMAGES OF SUCCESS
(Ages 16-20)

(Currently accepting application for ages 11-15 for future upcoming pageant)

The pageant begins Friday August 18, 2006. PAGEANT is Saturday August 19, 2006

Location: DoubleTree Hotel Crystal City (Arlington, VA)

To register, click here for a printable application and mail to the address on application. Complete it and mail with the $25.00 non-refundable application fee before July 30, 2006. Or you may complete the application and pay the application fee by credit card by clicking on "Pay Fees" to the left. Once your application is received, additional information will be mailed to you to begin your process as a contestant.

There is also a $300.00 registration/sponsor fee (see the frequently asked questions for more details).

Required fields are indicated by red font...

Please only click the send button once. Your text may not dissappear but it has been sent. Thank you

Name (Last,First)
DOB
Age
Address
Street:
Apt#:
City:
State:
Zip:
Home Number:
Cell Number:
Email:
PARENT INFORMATION
Mother's Name (Last,First)
Father's Name (Last,First)
ADDRESS
Street:
Apt#:
City:
State:
Zip:
Home Number:
Cell Number:
EDUCATION
School:
Extracurricular Activities:
Special Training:
PERSONAL STATISTICS
Height:
weight:
Hair Color:
Eye Color:
Favorite Color:

PLEASE WRITE BREIF ESSAYS ON THE FOLLOWING:
Your Scholastic Honors and Scholastic Ambition

Your Hobbies

Other Accomplishments

Brief Statement “My Ambition in Life” (50 words or less)

Brief Statement “Why I Want to Become Miss. Images of Success”

Personal bio of 175 words or less to be used at the pageant

PERSONAL REFERENCE: (not a family member)
Name:
Address:
City:
State:
Phone:
How did you hear about us:

Your T-Shirt Size

Enclose a photo of yourself to be used in the pageant program (no crowns or banners). Sorry, this photo cannot be returned.

Please return this application along with photo, essays, and non-refundable $25 application processing fee. Make checks or money orders payable to: Images of Success. Mail by July 30, 2006 to:

Images of Success Modeling Pageant P.O. Box 6402 Largo, MD 20792-6402

Note: You will receive your pageant package with your sponsor sheets once the pageant office receives your application. Don’t delay.