SPONSOR REGISTRATION FORM

(Please Type or Print Clearly)

Name ______________________________ Home Phone __________________________

Age________ Male _____ Female _____

School ____________________________________Customer Number________________

School Address____________________________________________________________

City ________________________________ State _____ Zip Code __________________

 

Students from your school for whom you are responsible (no more than 10)

  1. _________________________________ 6. _______________________________

    2.  

  2. _________________________________ 7. _______________________________

    3.  

  3. _________________________________ 8. _______________________________

    4.  

  4. _________________________________ 9. _______________________________

 

5. _________________________________ 10. _______________________________

 

Students you are sponsoring from other schools

Student School

  1. _______________________________ ___________________________________
  2. _______________________________ ___________________________________
  3. _______________________________ ___________________________________
  4. _______________________________ ___________________________________

I have read the Convention Guidelines and will support all standards and rules.

 

 

___________________________________

Sponsor’s Signature