Homeland Princess Application Ages 7 -12. Application is considered with payment only, $59.00
Contact Information
Your First Name
Last Name
Contact Phone #
City
State
Competing Year 2013 or 2014
Referral Email or Name
Physical Profile
Built: Slim Medium Full
Hair Color: Black Blonde Brown Other
Eyes Color: Brown Blue Other
Sex: Female Other
Height
Age Grade Level
What interest you about this competition
Have you contested before Yes NO If yes give brief detail: What is your talent: Parent / Legal Guidance Email:
Have you contested before Yes NO
If yes give brief detail:
What is your talent:
Parent / Legal Guidance Email:
Please make your payment upon submission through paypal or by calling 1-800-399-9681...Thanks
Note: False information may forfeit eligibility.
16541 Redmond Way Ste 302C | Redmond, WA 98052-4482 | 1-800-399-9681 About Us | Mary-Jay Programs | Donate | Contact Us | Events | Sponsorship| Terms of Use | Privacy Policy | Careers Copyright Mary-Jay Health Alliance 2009