NAME:_________________________________________________________ DOB:_____________________
ADDRESS:______________________________________________________ CURRENT AGE:____________
HOME PHONE NUMBER:__________________________________________ GENDER:_________________
EMERGENCY CONTACT:_____________________________________________________________________
I am allowing my child to compete in the Hot Shots competition sponsored by the Redfield Jaycees. I understand that the Jaycees are not responsible for accidents that could occur while participating in this competition.
SIGNATURE OF PARENT OR LEGAL GUARDIAN
________________________________________________________________________________________
Age/Gender Categories of the competition
Please circle the category you are entering in:
Boys 9-10 Boys 11-12 Boys 13-14
Girls 9-10 Girls 11-12 Girls 13-14
Competitors may compete only within their respective age/gender categories.
A contestant may only compete at one site, or represent one Jaycee chapter during the Hot Shot year. A contestant who have competed at more than one location will become ineligible to compete in Hot Shot during that year.
Local winners are elgible to compete at the State Jaycee Hot Shot Competition
Redfield Jaycees will forward all state competition information to local winners.