Miss Black Connecticut and Talented Teen USA | Pageant Application Form
Miss Black Connecticut USA "Beauty, Brains, and Benevolence" The premier pageant for women (ages 14-27) of color is now looking for contestants for the 2016 pageant. www.missblackconnecticutusa.org/apply
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Pageant Registration

      First Name
      Last Name
      Birthdate
      Please Select Pageant Division: Miss Black Connecticut USA (ages 18-27)Miss Black Connecticut Talented Teen USA (ages 14-17)Miss Black Connecticut Jr. Teen USA (ages 9-13)
      Have you had a husband or have been legally married?YesNo
      Phone Number
      Email Address
      Mailing Address
      City
      State / Province / Region
      What will your sash title be called? Examples: Miss Black Hartford USA Miss Black New Haven USA &etc.
      Preferred Contact Method:
      Photo Submission Headshot (file types: .png, .pdf, .jpeg does not need to be professional)
      Coupon Code (if applies)
      How'd you hear about us? RadioSocial MediaFriendOther

    Thank you so much for your interest in the Miss Black USA family. We find it with great pleasure that you are interested in becoming a Sister Queen. If you are having any trouble with this form please email help@missblackconnecticutusa.org


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