2009 competition entry form:

Name (please print)-______________________

Mailing address: __________________________ City: _______State:_____Zip code _____________

Phone ( ) ______________ Email: _________________

Patch Affiliation if any ____________________________________

Division:

Novice _______Open ________Masters _______Child_________ Youth___________JIm Story Award _________

Category:__________ Category Title ______________

Any description required by category. See list. ________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

I have read the competition rules and agree to abide by them.

Signature_________________

If you are hand-delivering your gourd art on June 25, 2009 you DO NOT HAVE TO pre-register.

If your are mailing your entry (see competition rules for deadlines) send a completed entry form and $6.00 per entry fee to:

California Gourd Society

c?o Welburn Gourd Farm 40635

De Luz Murrieta Road

Fallbrook, CA 92028