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Miss West Virginia USA® & Miss West Virginia Teen USA®

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Contestant Name *
Contestant Phone *
Date of Birth *
List your top 3 choices (in order) for the town, city, county, regional, or festival title you’d like to represent on pageant weekend.
Mailing Address *
Line
TEENS ONLY
PARENT OR GUARDIAN CONTACT INFO
Parent/Guardian Phone

Thank you!

 

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West Virginia USA Pageant, 275 Medical Dr, # 1163, Carmel, IN 46032, United States(317) 385-0196hello.wvusapageant@gmail.com

Independently produced by Empowered2 Productions, LLC, under license by The Miss Universe Organization.
Official Preliminaries to the MISS USA® and MISS TEEN USA® Pageants.

The trademarks and copyrights of MISS UNIVERSE®, MISS USA®, and MISS TEEN USA®, including the
"Woman with Stars" Logo and crown designs, are owned by The Miss Universe Organization.

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