2021 JUNIOR NATIONAL


It's a Southern Tradition

2021 AIJCA JUNIOR NATIONAL


JUNE 20-25, 2021
Perry, Georgia

  Junior National Participant Information


One registration form per (junior or adult) participant.
ADULT
First Name
Last Name
Sex
Male
Female
Phone
Complete Mailing Address
City
State
Zip Code
Plus4
Email (All registration confirmation and event correspondence will be sent only to this email.)

  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
If you would like to participate in team competition(s) but will not have enough members, indicate which contests:

  T-Shirt Orders


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 from May 2-10
XS
S
M
L
XL
XXL
XXXL

  Additional Items



Please check the boxes you are interested in participating in.
Confirmation and payment will be requested at a later time.
9-Hole Golf Scramble
SOUTHERN TRADITION MEAL TICKET
Purchase of this Southern Tradition Additional Meal Ticket includes at least 4 additional meals to registered participants. This year's ticket currently offers 5 Dinners and 2 Suppers (7 meals) in addition to the Conference Welcome Dinner and AIJCA Annual Awards Supper & Banquet Ticket.  $35 before May 1, $45 from May 2-10
I would like to purchase the Southern Tradition Additional Meal Ticket
8x10 GROUP PHOTO
$10 before May 1, $20 from May 2-10
QTY:


EXTRA AWARDS BANQUET TICKETS
$25 before May 1, $35 from May 2-10
QTY:


SLIDE SHOW ON CD
$15 before May 1, $25 from May 2-10
QTY:

  Liability



Liability Release
To be completed by all participants

I verify that I have read the rules, regulations, and Agreement of Responsibility and Liability including the COVID-19 statement, 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.
Adult Participant:
I have read and understand the above statement.

  Summary of Order



Registration & Other Fees
NO REFUNDS.

Pay By Credit Card
Pay By Check
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.


ITEMS BEING PURCHASED

 

$

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.

American-International Charolais Association
11700 NW Plaza Circle  |  Kansas City, MO 64153
Phone: 816-464-5977  |  Fax: 816-464-5759
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