ENTRY FORM for MDI 2011
Before you apply, please read the eligibity rules and see if you meet their requirements. If you do, fill out this form.
A contestant must be at least eighteen (18) years old at the time of her first appearance at the Miss Deaf International Competition in Orlando, FL and be no older than thirty (30) years old by July 1st of 2011. A $50 application fee is required for this application to be considered.

The contestants must submit the following by March 1, 2011:
•    Entry form
•    Birth Certificate
•    An audio gram
•    Two professional photographs (see below)
•    Biography
•    Entry fee of $50.00 USD

Email Address:

Full Name:

Date of Birth:

Address:

City:

State:

Country:

Zip Code:

Phone Number:

Nationality

Passport ID number

High School:

High School Graduation Date:

College/University Attended:

Higher Education Graduation Date:

Occupation:

Training:

T-shirt size:

XS S M L XL

Bra size:

Shoe size

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Height (cm):

Haircolor:

Eye color:

chest size (cm):

waist size (cm):

hips size (cm):

Do you have piercings? Where?:

Tattoos? (warning: it is not allowed to be visible):

Do you sign?:

Yes No

Father's Name:

Mother's Name:

Address of parent:

Phone number of parent

Email of parent:

FAX

Comment:

Security Protection Code

salmon 33