Fill out the electronic form below, attach your entry, and click Submit.

Submit one form for each division as necessary. Must be submitted by September 15.

Questions? Contact: Ms, Ferol Empen

Phone 815-234-7712 Email: ferol.empen@yahoo.com

Age (as of December 31 of current year):

 

Division:

 

Youth:

Last Name:
First Name:
Address (Street, City, State & Zip):
Date of Birth (MM/DD/YYYY):
Email:
Phone Number:

 

Advisor:
Advisor Address (Street, City, State & Zip):

 

IMPORTANT: PLEASE ATTACH YOUR CONTEST ENTRY BELOW BEFORE SUBMITTING THE FORM!

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