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Candidate Information Form (The 48 Hour Form)
Thank you for taking the time to submit this important information related to your participation in the Miss Iowa and Miss Iowa's Outstanding Teen competition. This information should be submitted within 48 hours of winning a local program title. If information changes throughout the year and as Miss Iowa week approaches, you may resubmit the entire form as often as necessary. The information with the most recent submit date will always be used and previous submissions will be deleted. Please email
executivedirector@missiowa.com
with any questions.
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Indicates required field
Competition Level
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Select One
Miss
Teen
Local Program or Title
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Select One
Miss Black Hawk Valley
Miss Burlington
Miss Capital City
Miss Cedar Valley
Miss Clinton County
Miss Eastern Iowa
Miss Golden Circle
Miss Greater Des Moines
Miss Great River
Miss Heartland
Miss Henry County
Miss Liberty
Miss Metro
Miss Mississippi Valley
Miss Northeast Iowa
Miss Northern Iowa
Miss Palisades
Miss Polk County
Miss River Bend
Miss River City
Miss Scott County
Miss Southeast Iowa
Miss Upper Iowa
Miss Wild Rose
Candidate's Full Legal Name
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Candidate's Nickname
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Contact Email
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Candidate Contact Cell Phone Number
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For Miss Contestants, this should be the contestant's cell phone number. For Teen contestants, this should be the cell phone for the parent of the Teen contestant.
Text Messaging
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Please text me with important information and updates related to competition
Emergency Contact Number
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Birthdate mm/dd/yyyy
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Age (as of June 9, 2022)
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School or College
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Grade or Year of Study and Major if applicable
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Talent
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Social Impact Initiative
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T-shirt size
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Permanent Mailing Address (please provide an address where mail can be received year round.)
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Line 1
Line 2
City
State
Zip Code
Country
Parents'/Guardians' Full Name (First and Last Names of Both Parents. Please list separately if divorced or separated)
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Parents'/Guardians' Primary Contact Cell Phone Number
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Local Executive Director(s), if applicable
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Submit