Miss Teen Philippines of CA

2009 Contestant Application

To apply as one of our 2009 contestants, please fill out the form below by January 31, 2009. Click "SUBMIT" at the bottom of the form to send.

E-mail Address: *
Alternate E-mail Address
First Name *
Last Name *
Preferred Name (optional)
Street Address *
City*
State *
Zip Code *
Home Phone
Cell Phone
Other
Preferred Method of Contact *
Date of Birth: Month *
Date of Birth: Day *
Date of Birth: Year *
Height *
Weight *
Hair Color *
Hair Length *
Eye Color *
Dress Size *
Shoe Size *
Occupation *
Personal Website/Myspace URL *
Please list any past modeling, acting, and/or pageant experience. If you have none, please list any activities you are involved in:

Please describe any additional interests, skills, or hobbies you may have: *

Please list any future plans or goals (college, career, etc.): *

I hereby certify that the information provided in this application is true to the best of my knowledge. I agree to comply with the rules and regulations set forth by the Miss Teen Philippines of California Organization. Please type your name as your signature. /s/ *



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Last updated: August 15, 2008