Mikayla Holmgren, center, chats backstage with fellow competitors before the start of the Miss Minnesota USA contest in Burnsville, Minn. on Sunday, Nov. 26, 2017. Holmgren, 22, made history Sunday night when she became the first woman with Down syndrome to compete in the Miss Minnesota USA pageant. Holmgren, who also is believed to be the first woman with Down syndrome to compete nationwide, was named the recipient of the Miss Minnesota USA Spirit Award and Director's Award. (Scott Takushi/Pioneer Press via AP)