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BECOME THE NEXT MISS TEEN US LATINA
COPYRIGHT 2009-2010  ORGANIZACION MISS AMERICA LATINA, INC.  ALL RIGHTS RESERVED.
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,
between the ages of 14 and 16 by December 31, 2010, and not a parent.
NAME:
RESIDENCE:
BIRTH PLACE:
PARENTS ORIGIN:
GRANDPARENTS ORIGIN:
SCHOOL ATTENDING:
YEAR LEVEL:     Freshman
 Sophomore
 Junior
 Senior
END OF SCHOOL TERM:
PAGEANT EXPERIENCE:
MODELING EXPERIENCE:
MEASUREMENTS:
YOUR BIRTHDATE:
TELEPHONE NUMBER:
E-MAIL ADDRESS:
Applying for:   Local pageant only
 Nationals At-Large
 Both
By checking this box, I acknowledge having parental permission to send this form.
FILL IN ALL SPACES. INCOMPLETE FORMS WILL NOT BE PROCESSED.
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Miss Teen US Latina 2009 Marissa Castro
IMPORTANT: Send your 2 photos in a separate e-mail to misslatinapageant@gmail.com.
Entries without photos will NOT be processed.