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BECOME THE NEXT MISS LATINA US
SUBMIT THE INFORMATION BELOW WITH TWO (2) RECENT PHOTOS (face close-up & full body) TO BEGIN THE
PROCESS.   To qualify for the National Pageant you must be an unmarried female, at least age 19 by May 1st and
under age 27 by December 31, 2012, and not a parent.
NAME:
RESIDENCE:
STUDIES:
BIRTH PLACE:
PARENTS ORIGIN:
GRANDPARENTS ORIGIN:
YOUR OCCUPATION:
IF STUDENT, WHERE:
DEGREE EARNED, IF ANY:
PAGEANT EXPERIENCE:
MODELING EXPERIENCE:
MEASUREMENTS:
 HEIGHT:
 WEIGHT:
YOUR BIRTHDATE:
TELEPHONE NUMBER:
E-MAIL ADDRESS:
Applying for:  Local pageant only
 At-Large at Nationals
 Both
FILL IN ALL SPACES. INCOMPLETE FORMS WILL NOT BE PROCESSED.
IMPORTANT: Send your 2 photos in a separate e-mail to misslatinapageant@gmail.com.
Entries without photos will NOT be processed.
FAQ
An Official National Preliminary to Miss Latin America® of the World
COPYRIGHT 2011  ORGANIZACION MISS AMERICA LATINA, INC.  ALL RIGHTS RESERVED.