Stargazer Online Application
Ref *
Fullname *
Birthday*
Contact Number *
Email Address *
Retype Email Address *
Unit /No. /Street /Suburb /State /Postcode *
Height *
Weight *
Category * Select a category Miss Little Earth Australia (age 5-8) Miss Junior Earth Australia (age 9-12) Miss Teen Earth Australia (age 13-17) Miss Earth Australia (age 18-28) Mrs Earth Australia (age 25-60, married)
Marital/Children Status: * Select a category Never Married Currently Married Previously Married Single / Never Get Married / Not Currently Pregnant
Parent Name If delegate is currently under age 18
Parent Contact If delegate is currently under age 18
Environmental Advocacy *
How did you hear about this pageant?*
Tell us why you want to be a delegate for this pageant? *
Upload, applicants headshot (25mb max) *
I confirm that the applicant is an AUSTRALIAN resident/citizen who has never been convicted of any crime or serve time in jail.