I hereby apply as an entrant for the title of
Miss Teen, California International

Name: Age:
Address: City: State: Zip:
Phone: Email: Date of Birth:
Height: Occupation: Chidren:
Hobbies:
Community Involvement and Volunteer Work:
Clubs and Groups:
Three words that describe you:
Favorite Saying:
Honors and Awards:
Favorite Family Tradition:
What is the greatest challenge facing couples today:

If you are selected for this title what platform or issue will you speak on throughout the year?

By clicking submit I agree to abide by the rules and regulations stated on the rules and regulations page. By clicking submit I hereby state that all information contained in the entry form is true and that I meet all eligibility requirements. Any misrepresentation of the truth will cause immediate disqualification from the competition. Any fees paid are nonrefundable.


Please send a $200.00 Deposit details