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MEMBER PROFILE 2010 Check which you wish to participate in: Awards ( ) World Show ( ) Congress ( )NAME:_______________________________PARENT’S__________________________- NAME:___________________________EMAIL:___________________HOME PHONE:_____________CELL:_____________PERSONAL GOAL:___________________________________________________________________SDQHYA MEMBER PROFILE/CHECK LISTThe Youth Advisor will keep a check-off list on file of each member of SDQHYA. It will list the requirements and obligations this member has agreed to complete for the year. Completed items will be “checked-off” as they are completed. Please return this with your paid membership. *Dues pd-date received (____________) *Date received Bylaws/Policies and understand –Member Signature (_____________) Parent Initial (________) (To be reviewed and given out at Sioux Falls Spring Meeting) *Participated in at least two fundraiser projects please check below which fund raiser you will be participating in: ________# Raffle Tickets taken Received_________In_________ *Sponsorships received = year end awards DUE BY APRIL 1 (Please try to get business cards)Two if 13 and under (date received _______________)Three if 14-18 (date received __________) **SPONSORSHIPS RECEIVED =World/NYATT DUE BY APRIL 1 Three additional sponsorships (date received __________________) Additional Sponsorships Received: __________________________ *Attend two meetings 1. date ___________ place_____________ 2. date ___________ place_____________ 3. date ___________ place_____________ 4. date ___________ place_____________ *Parent/guardian/trainer attend two meetings: 1. (date______________ who___________________) 2. (date______________ who___________________) Please sign that you have read and agreed to the above. PARENT SIGNAUTRE_______________________________________DATE________ MEMBER SIGNATURE______________________________________ DATE_______ ADVISOR SIGNATURE______________________________________DATE________
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