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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