2023 Ohio Open State Finals Entry Form
DEADLINES TO ENTER...
*****EARLY BIRD DEADLINE - June 23, 2023*****
*****FINAL DEADLINE - June 30, 2023*****
T-SHIRT FOR CROWNING - $20 (Mandatory) _______
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ENTRY PACKAGES
Package A - Ultimate Highpoint Supreme Queen
(Every event EXCEPT Optional Overalls & Jackpots)
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EARLY BIRD PRICE - $175_____
(Only $100 Deposit to hold your spot. Balance due at pageant)
FINAL DEADLINE PRICE AFTER EARLY BIRD DEADLINE - $200_____
(Only $100 Deposit to hold your spot. Balance due at pageant)
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Package B - Grand Highpoint Supreme Queen __FREE__
(automatically eligible when you enter Package A)
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Package C - Mini highpoint Supreme Queen $20 _______
(Same events as Package A but this packaged must be marked and separate additional fee paid)
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Package D - Beauty, Photogenic, Patriotic Wear & Interview $150______
(Qualifies you for Age Division Awards ONLY)
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Package E - Beauty & Photogenic $110 _____
(Qualifies you for Age Division Beauty and Photogenic event only)
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Package F - Beauty ONLY $75 _____
(Qualifies you for Age Division Beauty event ONLY)
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AGE DIVISION SIDE AWARDS - $5 Each
Eyes_____ Hair_____ Smile_____ Attire_____
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OPTIONAL OVERALL TITLES - ALL 3 for $60 OR $25 Each
Personality_____ Beauty ______ Superstar_____
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JACKPOT SUPREMES - $10 each
Most Beautiful_____ Living Doll _____ All American Girl _____
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DID YOU REFER ANYONE? YES_____ NO_____
Name of the person that you referred:::____________________________________________________
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COMMUNITY SUPPORT PROGRAM? YES_____ NO_____
How many wishes do you plan to sell by the early bird deadline June 23, 2023? ______________ (estimate)
________________________________________________________________________________________________________________
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CONTESTANT'S NAME_____________________________________________________________________________
AGE______________________
PARENTS NAMES______________________________________________________________________________
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Address________________________________________________________________________________________________
City/State/Zip__________________________________________________________________________________________
Email___________________________________________________________________________________________________
Phone_______________________________________________________________ Text? YES___ NO___
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Height _______________ Weight__________ Hair Color__________ Eye Color__________
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Pets? YES____ NO____
What kind of animal and their name __________________________________________________________________________
______________________________________________________________________________________________________________
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Favorite Color________________________________________________________________
Favorite Food________________________________________________________________
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Ambition_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Payment of your $100 Deposit can be paid via PayPal to:: imperialcrownmissusa@gmail.com
Questions????? myicmusa@gmail.com OR imperialcrownmissusa@gmail.com
RELEASE / DISCLAIMER
I have read and understood all rules and regulations. I release Imperial Crown Miss USA, K & E Productions, staff and event location from all liability from any injury, loss, illness or any damage that may occur at, during, after or to/ from the pageant. There are no refunds or transfer of fees paid. Imperial Crown Miss USA Pageant reserves the right to adjust the awards to the budget that is set forth, should need be. I, the contestant or parent/legal guardian, have provided all true and correct information. Should age or level status be found untrue, I will be responsible for returning all awards and/or paying court fees should legal action be necessary. I give my permission for any photos or videos of myself or minor children to be used in future promotional advertising. All judges' decisions are final. Poor sportsmanship will not be tolerated. I understand that I or my child can be disqualified with no refund at the director's discretion. ​​By submitting the entry form, you agree to all the information in the paperwork and on the entry form.
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Parents Name________________________________________________________________
Date Of Submission__________________________________________________________
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