Scrcc-song Contest Entry Form - Front

SOUTHERN CALIFORNIA ROLLER CANARY CLUB ANNUAL SONG CONTEST AND EXHIBITION

EXHIBITOR

NAME

STREET ADDRESS

CITY

ENTRY FORM STATE

ZIP CODE

PHONE NUMBER

E-Mail Address:

CLASS STANDING (check one)

MASTER BREEDER

CHAMPION

AMATEUR

NOVICE

MEMBER OF FOLLOWING CLUB: __________________________________________________________________________

I hereby certify that all the young birds in Classes 1 through 8, 15, 16, and the birds in the Any Age, Classes 9 and 10, were Bred, Raised, and Trained by the undersigned and that all statements made in connection with said entries are true and I agree to abide by the rules and regulations found on the face and reverse of this entry form. My entries are as follows: ENTRY NO

CLASS NO

MARK X FOR TEAMS

BAND ID NO

NOTE: Use a separate Entry Form for Each Class ENTRY FEES: Single Bird - $1.50 First Team (4 birds) - $5.00 Additional Teams - $4.00

BAND INITIALS

BAND YEAR

BIRD COLOR

FEE PAID

SECRETARY IN

Signed: _________________________________________________________ Exhibitor

OPEN CLASSES

MASTER BREEDER SECTION

ANY AGE SECTION- BRED, RAISED AND TRAINED BY EXHIBITOR

CHAMPION SECTION Class No. 3 – Single Young Bird Class No. 4 – Team (4 Young Birds) AMATEUR SECTION Class No. 5 – Single Young Bird Class No. 6 – Team (4 Young Birds) NOVICE SECTION Class No. 7 - Single Young Bird Class No. 8 – Team (4 Young Birds

PURCHASED OR BRED, RAISED AND TRAINED – ANY AGE

Class No. 1 – Single Young Bird Class No. 2 – Team (4 Young Birds)

SECRETARY OUT

Class No. 9 – Single Bird Class No. 10 – Team (4 Birds)_

Class No. 11 – Single Bird Class No. 12 – Team (4 Birds)

WHITE & BLUE WHITE - Purchased or Bred, Raised and Trained by Exhibitor – Any Age

Class No. 13 – Single Bird Class No. 14 – Team (4 Birds)

WHITE AND BLUE WHITE – BRED, RAISED AND TRAINED BY EXHIBITOR

Class No. 15 – Single Young Bird Class No. 16 – Team (4 Young Birds)

SHOW DATES: December 11th to 16th, 2006 OFFICIAL JUDGE(S) SHOW MANAGER SHOWROOM LOCATION ENTRIES WILL BE RECEIVED STARTING OUT OF TOWN EXHIBITORS SHIP BIRDS VIA AIR EXPRESS TO:

AWARDS will be presented on December 16, 2006 David Bopp Joe Johnson Rubidoux United Methodist Church, 4491 Pacific Avenue, Riverside, California December 11 at 2:00 p.m. and Ending December 12, 2006 at 7:00 p.m. Joe Johnson Ontario Airport Ontario, California Mark Shipping Containers “HOLD AT AIRPORT; UPON

ARRIVAL PHONE: 951-685-5748”

Form 2 – Front (Revised 4-18-06)