Titleholder Info Form — misspyl.org

2025 Titleholder Info Form

Please submit by Sunday, February 9th

Name

First Name

Last Name

Cell Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age

Birthday

Please list food allergies

And any additional allergies/sensitivities we should be aware of for your safety.

What additional accommodations can we assist with to make your time with Miss PYL feel safe, comfortable, and supported?

This includes accommodations regarding religion, disability, and health needs

Parent Name

First Name

Last Name

Parent Phone

(###)

###

####

Parent Email

Parent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Parent Name

(optional)

First Name

Last Name

Additional Parent Phone

(optional)

(###)

###

####

Additional Parent Email

(optional)

Additional Parent Address

(optional)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tell us about your family

Please also list your siblings names and ages

Tell us about yourself

Please include hobbies, passions (outside of your CSI), and any additional fun facts about you

Describe how you envision your brand

Who and/or what has inspired you to become a leader and serve your community?

What is your experience with pageantry?

Please include any previous titles held and dates

What are your personal goals as a local titleholder?

What does your typical week look like?

School and work hours, availability Sunday-Saturday, etc.

Preparing for state competition

What are your specific goals at state competition? What areas of feedback do you want your support team to focus on? How do you see yourself growing from this experience?

Wardrobe Details

Please include sizes for dress, top, pants and shoes

AMA Spotfund Link

Is there anything else you would like to share about yourself?

(Optional)

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