2018 Junior National Online Registration Form

PASTURE OF DREAMS

2018 AIJCA Junior National
June 17-22, 2018 • Des Moines, Iowa


 

For Adults

Junior National Participant Information
One registration form per (junior or adult) participant.
FIRST NAME: 
LAST NAME: 
SEX: 
Male Female
PHONE:  (-  EXT. 
COMPLETE MAILING ADDRESS: 
CITY: 
STATE: 
ZIP:     PLUS 4: 
E-MAIL (All registration confirmation and event
correspondence will be sent only to this email.): 
JUNIOR OR ADULT: 
Adult
  
Contest Entries
Please check the boxes you will be participating in.
Refer to the Contest Rules and Regulations before completing this portion. Participants are responsible to know and follow all contest rules.
Team Competitions
Cook-off Contest
3-on-3 Basketball Tournament
  
Weaver Leather Livestock 1-on-1 Sessions with a ProStaff Member
Two Junior National participants will be randomly selected. Sessions included Novice or Experienced. Adult entries welcome!
Novice
Experienced
  
Liability Release
To be completed by all participants
I verify that I have read the rules, regulations, and Agreement of Responsibility and Liability, related to participating and exhibition in the American-International Junior Charolais Association Junior National event and agree to adhere to all the rules and regulations accordingly. (Must be signed by all adult participants before entries will be processed).
I have read and understand the above statement: 
  
Official Junior National T-Shirt
Indicate sizes below.
One Free T-shirt per Junior National registered participant - junior and adult. Indicate T-shirt size below (adult sizes only).
If you order an extra T-shirt(s), also indicate size(s) below. Extra t-shirt is $15 before May 1 and $25 May 2-10.
XS S M L XL XXL XXXL `
   
Weaver Leather Livestock Day T-Shirt - Not included in Adult Registration Conference Ticket. Fees apply.
Indicate sizes below.
View Weaver Day Shirt & Style
Weaver Day T-shirts are available to Adult Junior National participants for a fee of $15 before May 1 and $25 May 2-10.
XS S M L XL XXL XXXL
  
Registration & Other Fees
No refunds.
On or before May 1

8X10 GROUP PHOTO @ $10  
EXTRA AWARDS BANQUET TICKETS @ $25  
SLIDE SHOW ON CD @ $15  
LEADERSHIP CONFERENCE TICKET @ $50  
2018 T-SHIRT(S) (1st is free) @ $15  
WEAVER DAY T-SHIRT(S) @ $15  
From May 2 to May 10

8X10 GROUP PHOTO @ $20  
EXTRA AWARDS BANQUET TICKETS @ $35  
SLIDE SHOW ON CD @ $25  
LEADERSHIP CONFERENCE TICKET @ $60  
2018 T-SHIRT(S) (1st is free) @ $25  
WEAVER DAY T-SHIRT(S) @ $25  
 
Pay By Credit Card 
* Pay By Check 
TOTAL ENTRY, CONFERENCE REGISTRATION & OTHER FEES:      $
*Entry will not be processed until payment is received in the AICA office. If paying by check, it must be postmarked by May 1st for the first deadline and May 10th by the second deadline.

Leadership Conference:
The Conference registration fee includes a 2018 Junior National T-Shirt and all conference meals including banquet tickets for juniors and adults.


NOTE: Checks for membership fees and annual dues payments must be made payble to AICA.
Make Entry, Conference Registration and other fees Check Payable To AIJCA

Please review the form before clicking submit. Click submit only once, double clicking could result in double charges on the credit card! A receipt will be sent to the email provided.

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