Official Pageant Application

To receive more pageant information, print and complete the entry form below. Mail the form along with the $25 application fee to the address listed at the bottom of this form.
(All fields are REQUIRED)

Age requirements:
Nationwide, age groups are assigned by contestant’s age on January 1 of the year of competition. Please check the age group you will be entering in:

Princess (ages 3 to 6)         Preteen (ages 10 to 12)         Teen (ages 16 and 18)
Sweetheart (ages 7 to 9)         Junior Teen (ages 13 to 15)         Coed (ages 19 to 22)


Contestant Name: 
   (last) (first) (middle)   


Address: 
   (number & street) (PO box or appt.)   


   (city) (state) (zipcode)   


Parent's Name(s): 


Day Phone: 


Evening Phone: 


Email Address: 


Age:  Birth Date: 


Grade in School:  Pre-K      K      1      2      3      4      5      6      7      8      9      10      11      12       College       Other
(circle one)

Grade Average:  A      B      C      D
(circle one)


School & community activities, awards, talents, hobbies, etc.
In the space below or on the back of this form, list activities in order of importance - most recent and most important first. Use outline form. Give year of activity or award, if possible. You may list your activities for the past three years. For princesses, list any activities where your contestant interacts with others; for example: preschool, day care, or church.




Rules and Regulations:
Parents of prospective contestants must read the following information and sign if the Official Application is to be considered. The contestant signed below must compete in her correct age group and reside or go to school in the state where she competes. She must give permission to American Coed Pageants, Inc to use her photographs, speeches, videos, and website photos, etc., for publicity and future pageant material. In consideration for being accepted as a contestant in the state pageant, we the parents and/or guardians of the contestant, individually named below do hereby release, American Coed Pageants, Inc., its directors, staff, employees and servants from any and all claims and damages directly or indirectly resulting for named contestant participating in the Miss American Coed Pageants. It is agreed and understood that any scholarships or college allowances which are a part of the Miss American Coed program are provided by the named school, agency or college and the amount of such scholarships are determined by the school, agency or college. American Coed Pageants, Inc., shall have no liability in regard to such grants or scholarships either as to amounts or performance. Contestant must never have been married or have a child. The state winner will be asked to sign a contract for the year of her reign, which spells out awards and prizes won, as well as responsibilities of the winner. If the state winner does not sign the contract, she will forfeit her state title, all prizes and cash awards. It is understood that sponsor fees and all other fees are non-refundable without exception.   The Iowa Coed Pageant is neither owned nor controlled by American Coed Pageants, Inc. but is an authorized licensee of American Coed Pageants, Inc. Delivery of all prizes and awards promised herein is the obligation of the Iowa Pageant, an independent business enterprise, and is not the obligation of American Coed Pageants, Inc.



Application Checklist:

Contestant's Name or Signature:   Enclose $25 Pageant Registration Fee


Parent(s) / Guardian(s) Signature:   Enclose One Small Photo
 (no larger than 3x5. A school photo or snapshot will be fine)

Date:   Contestant and Parent/Guardian Sign and Date

(Make check payable to "Iowa American Coed Pageants")
Return Application and $25.00 Registration Fee:

Dr. Steve & Mary Wettach
Iowa  & Missouri American Coed Pageants
2436 Iowa Ave.
Mt. Pleasant, IA 52641

Phone: Toll Free: 866.395.7147
Mobile: 563.503.3345 

Email: premierprom@lisco.com