LLAMA ASSOCIATION OF NORTH AMERICA Youth Jacket Program Application and Accomplishment Verification ADMINISTRATIVE INFORMATION Name: ____________________________________ DOB: ___________ Address:___________________________________________________________________________________________________________ Telephone:________________________ Email:____________________ Jacket size( in adult sizes): M, L, XL. XXL Name of co-sponsoring organization:______________________________________________ Contact person:_____________________________________________ Contact number:_______________________ Contact email:___________________________ Received LANA Youth Jacket Program Award Before: (Y) or (N) QUALIFICATION DOCUMENTATION Memberships: Current member of LANA (date): _________________________________________________ Current member of co-sponsoring organization(date):_________________________________ Current member of ALSA(Date) : ________________________________________________ ALSA youth number:_______________ Enrollment paid and received judging rule book in the ALSA Youth judging program (date):__________________________________________ Accomplishments: List ALSA shows and youth classes completed this year: ______________________________ _________________________________________________________________________ List ALSA show youth judging classes you competed in this year: ________________________ ___________________________________________________________________________ List the ALSA Regional Show you qualified and competed in this year: ___________________ __________________________________________________________________________ Did you attend and compete in ALSA Grand Nationals this year? (Y) or (N) List classes: _______________________________________________________________ List co-sponsoring organization additional requirements for show team jacket program. ___________________________________________________________________________ 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) Submission: To the best of your knowledge the above information is accurate and complete. Youth signature:________________________________________ Parent signature:________________________________________ Date:____________________ 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. Llama Association of North America Atten: Youth Show Jacket Program 1800 S. Obenchain Rd Eagle Point, Oregon 97524