Fill Out the Forms Below (You Must Click SUBMIT After EACH Form)

  • Please note that all fields containing an * are required and your form will not be submitted without entering a value in those fields.
  • You will receive a confirmation email after each form has been submitted.  If you do not receive a confirmation email then your form was not received by our office and you will need to reattempt submitting the form.

Title & Sash Agreement

"*" indicates required fields

I, the contestant, understand, agree, and will abide by the follow:

  • Upon acceptance into the state pageant, I will be assigned a title. This title will reflect where I live, work, or attend school. Title assignments are flexible, but the approval of my title is at the discretion of RPM Productions, Inc.
  • My title designation is for the purposes of competing in my State Pageant ONLY. This may include soliciting sponsorships and appearances promoting the State Pageant and my area of representation.
  • All appearances utilizing my title must be approved in advance by RPM.
  • A sash reflecting my title will be given to me upon check in at the State Pageant and may be kept as a memento.
  • Usage of my title will be terminated upon the completion of the State Pageant.
Name*
Example: Greenville | Pearl River | Johnson County
Parent/Guardian's Name
Email*
Your email address will only be used to send you a confirmation of your submission.

Contestant Profile

The Contestant Profile is one of the most important forms you will complete. This is the form the Judges will read to learn more about you before the competition begins. The answers you provide to the judges will give them their first look into who you are.

"*" indicates required fields

Name*
Please enter the name you wish to be called on stage.
Example: Greenville | Pearl River | Johnson County
Enter the high school or college you are attending, will attend, or have attended.
For College Students/Graduates Only
Full-Time and Part-Time jobs may be listed. If you are in school, enter "Student."

Questions

These questions are important. Remember, this is your chance to reveal to the judges the most exciting facts and information about you. Don't be just another pageant girl. Be yourself, be unique, and leave them wanting to learn more about you when they meet you during the interview portion of the competition.


List three (3) things you are interested in.


Corrections & Updates

Should you need to update or correct a previously submitted profile, you may complete the form as many times as needed. We will use the form that has the most current date & time of submission.


Enter Email & Submit

Email*
Your email address will only be used to send you a confirmation of your submission. This will not be included on the Contestant Profile that the judges receive.

MC Card

This will be the information the Master of Ceremonies will use to describe you during your time on stage.

"*" indicates required fields

Name*
Please enter the name you wish to be called on stage.
Example: Greenville | Pearl River | Johnson County. Please do not put Miss TITLE Teen USA. Just enter the name of your title.
Enter the high school or college you are attending, will attend, or have attended.
For College Students/Graduates Only
Full-Time and Part-Time jobs may be listed. If you are in school, enter "Student."
One sentence about your future plans will be sufficient. Please do not write your philosophy of life.

Interests

List your top THREE hobbies and talents. Remember, this is your chance to show what is unique about you!

Interest 1 of 3
Interest 2 of 3
Interest 3 of 3

On-Stage Topics

Corrections & Updates

Should you need to update or correct a previously submitted profile, you may complete the form as many times as needed. We will use the form that has the most current date & time of submission.


Email*
Your email address will only be used to send you a confirmation of your submission. This will not be included on the MC Card.

Health Information & Release of Liablity

"*" indicates required fields

Name*
Example: Greenville | Pearl River | Johnson County
(Other than your own)
(Other than your own)
Please list your mother's first and last name. Should you choose not to list anyone, please enter "None" in the field above. If your mother is deceased, please enter "Deceased."
If you did not enter your mother's name in that field, please enter "000-000-0000" in this field.
Please list your father's first and last name. Should you choose not to list anyone, please enter "None" in the field above. If your father is deceased, please enter "Deceased."
If you did not enter your father's name in that field, please enter "000-000-0000" in this field.

Release

In consideration of participating in the MISS USA® or MISS TEEN USA® State Program and its related events and activities, I agree that:
  • There are inherent risks of injury.
  • I knowingly assume those risks and agree to indemnify and hold harmless, the Miss USA Organization, and the state directors, Paula Miles, Ryan Miles, and RPM Productions, Inc. for all injuries sustained, except those caused by the sponsoring director’s sole negligence.
Release 1*
Release 2
MM slash DD slash YYYY
Only required if Contestant is under 18
MM slash DD slash YYYY
Email*
Your email address will only be used to send you a confirmation of your submission.

Rules & Regulations

Please review the Rules & Regulations, fill out your name and age divsion, then sign below.

"*" indicates required fields

To run a smooth and enjoyable event, we ask contestants to observe a few simple rules.  We thank you in advance for your cooperation.

  • There will be no smoking in public.  Your room is non-smoking and you will be held financially responsible for any damages should you choose to smoke.  The pageant does not advocate smoking.
  • You must participate in all pageant activities and wear pageant identification at all times.
  • When not in your hotel room, you must be in the company of a pageant chaperone.  Do not venture off by yourself. You are not permitted to visit your parents’, family’s, or friends’ rooms once registered with the pageant.
  • The pageant schedule is very busy!  You are required to be on time.
  • The pageant will provide breakfast, lunch, dinner and snacks as designated on your itinerary.  You will be responsible for any other meals.
  • As per theater rules, you are not permitted to eat except in specified areas.
  • No interviews for radio, television or newspaper are to be granted without prior consent of the State Director, Co-Director, or Contestant Coordinator.
  • Any phone calls or incidental expenses will be your responsibility.
  • Security is provided, however we cannot be responsible for your safety if you disregard the rules.
  • We are not responsible for valuables.  Do not bring expensive jewelry or large amounts of cash.  Be sure to mark your clothes and other items for easy identification.
  • You must ride the bus when indicated on the schedule.  No one is allowed to drive between the hotel and theater.
  • You, your parents, friends, relatives, etc., are not to engage the judges or auditors in conversation prior to the conclusion of Saturday night’s pageant.
  • Only specified RPM Productions team members will be permitted backstage during the pageant.  Pageant personnel will be available to assist to you.
  • Cell phones must be turned off during rehearsals and shows.
  • Do not attempt to meet your significant other during breaks.
  • All rehearsals are closed to the public.
  • You are not permitted to solicit or sell any products or goods during the pageant weekend to any other contestants, friends, family, or pageant staff.
  • You must depart the theater immediately following the crowning of the new winners.

The following rules, if broken, constitute grounds for disqualification.

  • There will be no consumption of alcoholic beverages or any illicit drugs, regardless of age.
  • Personal hairdressers, makeup artists, coaches, or parents and other visitors will not be allowed in your hotel room, nor will you be permitted to go to their rooms during the pageant weekend.
  • Coaches, parents or other visitors will not be allowed backstage.  You will have access to pre-approved hair and makeup artists backstage.
  • All contestants must meet the requirements set forth by the Miss USA Organization.
Remember: If you witness any of these rules being broken, it is your responsibility to report the infraction to your chaperone or RPM team member.  Failing to do so makes you guilty by association.
Name*
Example: Greenville | Pearl River | Johnson County
Email*
Your email address will only be used to send you a confirmation of your submission.

Final Sponsorship List

Please list up to 15 sponsors who you would like to acknowledge in this year's Official Magazine. If you need to make changes or amendments, please recreate another form in it's entirety.

"*" indicates required fields

Name*
Example: Greenville | Pearl River | Johnson County
List*

Sponsorship List Tips

  • To add more sponsors, press the + icon to the right of the List box.
  • Please enter either the sponsor's personal name OR business name, do not enter both. (Example: Susie Smith or Joe's Automotive will be accepted. Susie Smith, Vice President of Joe's Automotive will not be accepted.)
  • Do not list the city of the business. (Example: Susie Smith's of Lexington or Joe's Automotive in Lexington, SC will not be accepted. Susie Smith or Joe's Automotive will be accepted.
  • Please keep the listing of first names to a minimum. (Example: Tom, John, James, Elizabeth, Mark, Kate, Adrian, Peyton, Colin, Heidi) Those could be written as "My Best Friends" or "My Co-Workers" or "My Work Family" or "The Jones Extended Family."
  • Consider using "Family & Friends" instead of every relative that helped you financially. (Example: Mom, Dad, Brother, Sisiter, Aunt Sue, Uncle John, My First Cousin Selena, My Great Grandmother Myrtle, My Other Aunt Sue, My Most Favorite Cutest Niece Sophie 😉 & My Dog Pookie...awww I love you Pookie!)
Email*
Your email address will only be used to send you a confirmation of your submission. This will not be included on the Sponsorship Listing.

Media Release

"*" indicates required fields

Name*
Example: Greenville | Pearl River | Johnson County
Address*

Parent/Guardian Information

Parent/Guardian's Address

Release

  • I, the undersigned, do hereby consent and agree that JC Productions, Sage Media Group, RPM Productions, Inc., its employees, or agents have the right to take photographs, videotape, or digital recordings of me beginning on the date of the 2023 Miss Louisiana USA/Miss Louisiana Teen USA Preliminaries and ending on the date of the 2023 Miss Louisiana USA/Miss Louisiana Teen USA Finals, and to use these in any and all media, now or hereafter known, and exclusively for the purpose of live or delayed webcasting and DVD sales. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.
  • I do hereby release to JC Productions, Sage Media Group, RPM Productions, Inc., its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.
  • I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback.
  • I also understand that JC Productions, Sage Media Group, RPM Productions, Inc., is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.
Contestant Release*
MM slash DD slash YYYY
Parent/Guardian Release
Only required if Contestant is under 18
MM slash DD slash YYYY
Email*
Your email address will only be used to send you a confirmation of your submission.