Please print and complete all information

Please NO Adults in constume or your group will not be judged for prizes!

This information will be used to mail prize checks!

Name: _______________________________________ Age: __________

Address: ____________________________________________________


Phone: _______________________ Section: _______________________

Number in your group: _________________________

Group/Individual theme: _________________________

If we win, make the check out to: _________________________________

Check box if you wish to donate your winnings back to the fair association.

Registration #: __________________________

(Numbers will be assigned at registration)

Mail to:
Janet Sanderson
P.O. Box 4
Rossville, PA 17358