2024 PCLIA Calf Scramble Application

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Email *

Applicant's First and Last Name: *

Applicant's Mailing Address: *

City *

Zip Code *

Phone Number: *

Please use format: (xxx) xxx-xxxx

Applicant's Birthdate: *

YYYY

Grade: *

Grade applicant will be in for the 2024-2025 school year.

Year applicant will be graduating from high school: *

Sex: *

Male

Female

Weight: *

Parent/Guardian's Legal Name: *

Parent/Guardian Primary Phone: *

Please use format: (xxx) xxx-xxxx

Parent/Guardian Email: *

County 4-H Club or FFA Chapter: *

Have you ever ran in the PCLIA Calf Scramble before? If yes, did you catch a calf? *

Yes, I have ran but did NOT catch a calf

Yes, I have ran and DID catch a calf

No to both

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