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2021 CJSA Membership Registration
Complete this form to sign up as a CJSA member for the 2021 Jackpot season.
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* Indicates required question
Youth Full Name
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Your answer
Address
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Your answer
City
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Your answer
Zip Code
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Your answer
What County do you show in?
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Your answer
Birthdate
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MM
/
DD
/
YYYY
Age as of January 1, 2021
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Your answer
Parent/Guardian Name
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Your answer
Phone Number
*
Your answer
Email
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Your answer
Please complete one registration form per youth exhibitor. Annual dues of $35 are due with your registration.
Dues must be paid via cash, check, or PayPal by the first show you attend.
We are excited for you to join us this year!
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