Author: Kaylynn Williams
Company: kwkennels

America’s Junior Handler & Junior Handler Award Program
Registration Sheet
Get started today with all there is to offer!  By registering you will become a representative for the future of beagling. Your participation is important to us as well as the sport. Your dedication to the program will lead to many rewards.  Good luck and thank you! 

Your Name: ___________________________________________________
Date of Birth: _______________(Must be ages 7-17)
Boy or Girl	(Circle One)				Mid-West?_______________
Mailing Address: _____________________________________________________________
City:________________________State:__________Zip Code:___________
Phone Number (s): _________________________________
Shirt Size (specify adult or youth)_______________________ Date: __________
I certify that I will comply with the rules set forth by the committee.  I also certify that I will dedicate my participation to the future of the sport and the betterment of the breed.
Handler’s Signature: ___________________________________________
Parent/Guardian:
	My son/daughter has my permission to participate in the program and receive full benefits and rewards Purina has to offer.
Parent/Guardian Signature: _______________________________________
Mail to the following address:
Kaylynn Williams
2840 S. Wingate Rd.
Scottsburg, IN 47170