Teen Candidate Interest Form
Thank you for your interest in the Miss Wisconsin Rapids' Outstanding Teen Scholarship Competition!

Whether you know you want to be a candidate, or you just want to find out more information, please fill out the form below. This form will help us to know how to contact you and will also let us know what questions we should address during the informational meeting.

This year's competition will take place on Saturday, November 5th at the Performing Arts Center.

To be eligible you must be born between 1/1/2005 and 06/10/2010 (between the ages of 12.5 through 17). *Note, candidates cannot be older than 17 as of 12/31/2022 and must live or attend school Wisconsin Rapids, Nekoosa, Port Edwards, or the surrounding areas!
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Teen's First and Last Name
Parent/ Guardian name(s) *
Date of Birth *
MM
/
DD
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YYYY
Name of School
Current Grade in School
Teen email address *
Parent/guardian email address *
Teen phone number *
Parent/Guardian phone number *
Home Address *
City *
State *
Zip *
How did you hear about us? *
Required
What is your level of interest in competing? *
What do you hope to gain from the competition? (Please check all that apply) *
Required
What type of talent will you be performing? *
Required
What are your biggest questions or concerns about the competition? (We will make sure to address this at the informational meeting)
Submit
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