Loading... Please wait...
  • Image 1

Southern States Entry Fee Deposit

$50.00

 

* Contestant Name:

(Maximum Size: . Type: )
* Age Division (age as of January 1st, 2023):
* Date of Birth:

(Maximum Size: . Type: )
* How did you hear about us?:

(Maximum Size: . Type: )
Parent/Guardian Name (not required for contestants 18 and older):

(Maximum Size: . Type: )
* Main Contact Email:

(Maximum Size: . Type: )
* Main Contact Phone Number:

(Maximum Size: . Type: )
* I understand that all fees are non refundable:
* I have read and agree to the state contestant/titleholder agreement:
Quantity: