Pageant Application

Youth's First name

Youth's Last name

Address

Phone

Parent's Name

Birthday

Month

Day

Year

Age Division (Current Birthdate as of January 1, 2025)

Name of School Youth Attends

Youth's Grade

Youth's Headshot

Youth's T-Shirt Size

What is your talent? (i.e. Singing, Dancing, Playing an Instrument, etc.)

What is your greatest accomplishment?

Why do you want to be Little Miss Black Tennessee?

List any questions you have here.

Optional Competition

Outfit of Choice: State Wear

Talent

Photogenic

Optional Jackpot Competition

Best Dressed

Best Walk

Prettiest Smile

Application Fee

Application fee $100

Application fee includes Rhinestoned Tshirt, Swag Bag, Meal and Participation in Miss Black Tri-State USA Pageant Workshop (6/21/2025). Application fee is non-refundable and non-transferrable.

Signature, By signing below, you are stating that all information is true and correct.

Pageant Application

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