Miss Thurston County Ambassadors

Miss Thurston County Blossom Ambassadors
OFFICIAL PROGRAM APPLICATION
PROGRAM ELIGIBILITY: To be eligible to participate, an Ambassador must:
♥ Be between the ages of 11-13
♥ Who lives in or whose parents work in Thurston or Mason County
♥ Be able to attend all rehearsals
♥ Supply a dress (floor length), production number wardrobe, and interview style outfit
♥ Participate in the Miss Thurston County Pageant production numbers
♥ Pay: $100 Application Fee New Blossom Ambassador or $75 Returning Blossom Ambassador (no tiara) - this includes Blossoms who have moved up to Ambassdors

★ Fee includes official Miss America Princess Tiara, MTC t-shirt, MTC
program book, pageant admission, and all events.
COMPLETE AND SUBMIT APPLICATION BY SEPTEMBER 1ST 2026

Rehearsals for Ambassadors begin September 13th 2026
Registration fee payment can be made by credit/debit card or venmo at the completion of this form or contact our Program Coordinator below to pay by check or cash.
Shayna Shankle, Ambassadors Program Coordinator: shayna.missthurstoncounty@gmail.com

BLOSSOM INFORMATION:
Is this application for more a single Ambassador or Sibling Ambassadors
Ambassador Full Name: (First Middle Last)
Date of Birth

MonthDayYear
Date
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Name(s):
Email:
example@example.com
Parent Cell Phone:
Format: (000) 000-0000.
Home Phone:
Format: (000) 000-0000.
T-Shirt Size:

ON-STAGE BIO
Age as of 10/25/2026:
School Attending:
Grade:
Favorite Food or Restaurant:
Favorite Color:
Favorite Disney Movie:
Favorite Singer/Group:
Hobbies/Activities:
What would you like to be when you grow up?
Please tell us anything about your daughter that is unique and special to her. (ie, she is the oldest child, her favorite person is her Grandpa, or her favorite shoes are cowgirl boots.)

SECOND BLOSSOM INFORMATION / ON-STAGE BIO
Full Name: (First Middle Last)
Date of Birth:
T-Shirt Size:
Height:
Age as of 10/25/2026:
School Attending:
Grade:
Favorite Food or Restaurant:
Favorite Color:
Favorite Disney Movie:
Favorite Singer/Group:
Hobbies/Activities:
What would you like to be when you grow up?
Please tell us anything about your daughter that is unique and special to her. (ie, she is the oldest child, her favorite person is her Grandpa, or her favorite shoes are cowgirl boots.)

EMERGENCY INFORMATION:
Known medical conditions: (i.e. asthma, etc.)
Allergies: (food, drug, other)
Medications to be taken during pageant/rehearsals or special dietary needs:
Emergency Contact Name:
Relationship:
Cell Phone:
Format: (000) 000-0000.
Home Phone:
Format: (000) 000-0000.
Emergency Contact Name:
Relationship:
Cell Phone:
Format: (000) 000-0000.
Home Phone:
Format: (000) 000-0000.
OFFICIAL PHOTO RELEASE:
LETTER OF UNDERSTANDING:
The following rules will help the Ambassadors understand what is expected of them at pageant and rehearsals: An Ambassador must be accompanied by a parent/guardian at all times, until/unless they are released backstage with Ambassador Coordinators at pageant/rehearsals. An Ambassador will not make an appearance in her community wearing her crown unless she is making an official appearance with the Miss Thurston County Scholarship Program. This is not a pageant or a "title," it is a mentoring program. There are no refunds of any fees. The Ambassador who is matched with the candidate who wins the title of Miss Thurston County/Miss Capitol city will get to participate in two (2) community events throughout her year of service.
SIGNATURE: I hereby certify that this application is true and correct to the best of my knowledge. I will meet the time commitment and requirements set forth by this program.
Parent Signature:
Date:

MonthDayYear
Date
Payment Method
Payment by cash or check due by September 10th
My Products
prevnext( X )
New Blossom
$100.00 Quantity

Returning Blossom
$75.00 Quantity

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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Miss Thurston County Blossom Ambassadors

OFFICIAL PROGRAM APPLICATION

PROGRAM ELIGIBILITY: To be eligible to participate, an Ambassador must:

BLOSSOM INFORMATION:

ON-STAGE BIO

SECOND BLOSSOM INFORMATION / ON-STAGE BIO

EMERGENCY INFORMATION:

LETTER OF UNDERSTANDING:

SIGNATURE: I hereby certify that this application is true and correct to the best of my knowledge. I will meet the time commitment and requirements set forth by this program.

Payment by cash or check due by September 10th

My Products*

Payment Methods

My Products