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INFORMATION DIRECTORY:

CT Belleza Latina Sites

National Pageants

Website Features!

Thank You for your Interest in Connecticut Belleza Latina!

Please fill out the application keeping your responses in the space provided.

When finished please select/click the 'Submit' button at the end of the form.

To complete the application process, also email one photo to ctbellezalatina@yahoo.com.

Or send a photo to : P.O. BOX 6682, Hamden, CT 06517.

Application Form- No Application Fee!!!

Name/Nombre
Age/Edad
Date of Birth/ Fecha de Nacimiento: (dd/mm/yyyy)
Division
Marital Status/ Soltera o Casada
Hispanic Origin/Nacionalidad
Accomplishments / Liste algunos premios o logros especiales
Occupation - School / Cual es tu trabajo? / A cual escuela atiendes?
Ambition/ Cual es tu ambicion?
Phone Number/Numero de Telefono
Cell Phone Number/Numero de Telefono Celular
Address/Direccion:
Address 2/Direccion 2
City/Ciudad
State/Estado
Zipcode/Codigo Postal
Email/Correo Electronico:
How Did you hear about us?/ Como se Entero Usted de Nosotros? : Check all that apply
Referred by a Friend

Web Search/Search Engine

     Flyer or Other Advertisement

     Approached by Queen or Staff Member

     Saw Queen at an Event

     Contestant Referred Me

Other/ Otra:
Entry Fee Selection / Seleciona del Pago del Entrada
New Delegate: $475

                                        (Includes city Sash & Tiara!)

     Returning Delegate Discount: $425

           (Not including city Sash & Tiara)

How will you be paying the Entry Fee? / Como tu vas a pagar la entrada del concurso?
I will be using a Payment Plan

I will send my fee through the mail

     I will pay my fee online via PayPal

Headshot Photo / Foto

I will email to ctbellezalatina@yahoo.com

I will send my photo in the mail

Agreement

By submitting the entry form and fee(s) to CT Belleza Latina, delegate agrees to abide by all policies, rules and regulations set forth by the CT Belleza Latina Pageants. Participation in the CT Belleza Latina Pageant also indicates acceptance and agreement to abide by all policies, rules and regulations set forth by the CT Belleza Latina Pageant. Delegate attests that all information submitted to the CT Belleza Latina Pageant is true and accurate. Falsification of information and failure to comply with the policies of CT Belleza Latina may result in immediate disqualification and/or forfeiture of prizes won without benefit of refund in full or in part at the sole discretion of the CT Belleza Latina State Pageant.

By clicking "I Agree - Submit my Entry" below, I am attaching
my electronic signature to and agreeing to the AGREEMENT above.

I understand that if I do not agree to the agreement, I should not continue

Please take the extra 5 minutes once you've completed and submitted the form to e-mail us your photo. This will make the process much smoother. It can be any photo you have available.

**If you do not have any photos of yourself available to e-mail us afterward, please CONTINUE TO SUBMIT YOUR FORM. Thank you again, for taking the time to submit your application!

If you have any questions, call us at (203) 850-9678

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Petite, Little Miss, Pre-Teen, Teen, Miss, and Ms. CT Belleza Latina.
¡Abriendo puertas en el mundo de belleza para la Mujer Latina!