Online State Registration is open for free Application

COMPETITION PROCESS AND INSTRUCTION

                               Contact Information

Country

First Name

Last Name

Contact Phone #

Address

City

State & ZipCode

Email

Competing Year of Interest 

Referral Phone No.

 

Physical Profile

Built:            Slim Medium Full

Hair Color:  Black Blonde Brown Other

Eyes Color: Brown Blue Other

            Sex: Female Other 

Height

  Age   Education Level

 

Are you interested in Fundraising Competition Yes  No

Do you need disability special arrangement     Yes  No

 

What interest you about this competition

Are you physically able to travel if required Yes No

Have you contested before Yes NO

If yes give brief detail:

If you have the means, what would you like to do to make this world a better place to live

If you agree to comply with the rules and regulations of this pageant, please submit your application.  Thanks

 

        

 

 

16541 Redmond Way Ste 302C | Redmond, WA 98052-4482 | 1-800-399-9681
About Us | Mary-Jay Programs | Donate | Contact Us | Events | Sponsorship| Terms of Use | Privacy Policy | Careers
Copyright Mary-Jay Health Alliance 2009