Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Birth Date

YYYY

Age as of July 31, 2024

Name for Publicity

First Name

Last Name

Community Service Initiative

Share the title of your Community Service Initiative.

Talent/HER Story

Describe what type of Performing Arts Talent or HER Story you would be presenting at the Miss Oregon competition.

Tentative Music Reservation

Your talent is not approved until you have submitted the talent form and all other requirements for talent.

Current School/College

If you are not current attending school, please write, "None."

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Expected Date of Graduation

YYYY

College Major

If you are not current attending college, please write, "None."

Allergies/Food Preferences

For example: Vegan, Gluten-Free, or None.

Miss Oregon 24-Hour Form