Co-Sponsor App for Youth Jacket

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="077085a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>LANA</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="LANA"><U><B>home</B></U></A></div> <div> <A HREF="id36.htm" TARGET="_top" TITLE="Youth Across America"><U>Youth Across America</U></A>   |   <A HREF="id53.htm" TARGET="_top" TITLE="YOUTH PROGRAMS"><U>YOUTH PROGRAMS</U></A>   |   <A HREF="id51.htm" TARGET="_top" TITLE="Youth Jacket"><U>Youth Jacket</U></A>   |   <A HREF="id117.htm" TARGET="_top" TITLE="Show Jacket Application"><U>Show Jacket Application</U></A>   |   <B>Co-Sponsor App for Youth Jacket</B>   |   <A HREF="id50.htm" TARGET="_top" TITLE="Youth Award"><U>Youth Award</U></A>   |   <A HREF="id103.htm" TARGET="_top" TITLE="Youth Newsletter"><U>Youth Newsletter</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="078d2e83.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000" background="07907073.jpg"> <div> <I>Co-Sponsor App for Youth Jacket</I></div> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="677" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 1290 WIDTH="671"><div> <B>LLAMA ASSOCIATION OF NORTH AMERICA</B></div> <bR> <div> Youth Jacket Program Application and Accomplishment Verification </div> <bR> <div> ADMINISTRATIVE INFORMATION </div> <bR> <div> Name: ____________________________________ DOB: ___________</div> <bR> <div> Address:___________________________________________________________________________________________________________</div> <bR> <div> Telephone:________________________ Email:____________________</div> <bR> <div> Jacket size( in adult sizes): M, L, XL. XXL </div> <bR> <div> Name of co-sponsoring organization:______________________________________________</div> <div> Contact person:_____________________________________________</div> <div> Contact number:_______________________ Contact email:___________________________</div> <bR> <div> Received LANA Youth Jacket Program Award Before: (Y) or (N) </div> <bR> <div> QUALIFICATION DOCUMENTATION</div> <bR> <div> Memberships:</div> <bR> <div> Current member of LANA (date): _________________________________________________</div> <div> Current member of co-sponsoring organization(date):_________________________________</div> <div> Current member of ALSA(Date) : ________________________________________________ </div> <div> ALSA youth number:_______________</div> <bR> <div> Enrollment paid and received judging rule book in the ALSA Youth judging program (date):__________________________________________ </div> <bR> <div> Accomplishments:</div> <bR> <div> List ALSA shows and youth classes completed this year: ______________________________</div> <div> _________________________________________________________________________</div> <bR> <div> List ALSA show youth judging classes you competed in this year: ________________________</div> <div> ___________________________________________________________________________</div> <bR> <div> List the ALSA Regional Show you qualified and competed in this year: ___________________</div> <div> __________________________________________________________________________</div> <bR> <div> Did you attend and compete in ALSA Grand Nationals this year? (Y) or (N)</div> <div> List classes: _______________________________________________________________ </div> <bR> <div> List co-sponsoring organization additional requirements for show team jacket program. </div> <div> ___________________________________________________________________________</div> <bR> <div> Attach a written essay (at least 100 words) detailing your experiences with llamas/alpacas to be published in the LANA newsletter. (optional: attached a picture of you and your llama/alpaca) </div> <bR> <div> Submission: </div> <bR> <div> To the best of your knowledge the above information is accurate and complete. </div> <bR> <div> Youth signature:________________________________________ </div> <div> Parent signature:________________________________________</div> <div> Date:____________________ </div> <bR> <div> Please send this completed form, newsletter essay, and all required completed co-sponsoring organization paperwork to the Co-sponsoring organization’s business office to complete this application process. </div> <bR> <DIV ALIGN="LEFT"></DIV> <div> Llama Association of North America</div> <div> Atten: Youth Show Jacket Program</div> <div> 1800 S. Obenchain Rd</div> <div> Eagle Point, Oregon 97524 </div> <bR> </tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>