NDGA JUDGE’S TRAINING SIGN UP FORM

Name of Participant: ___________________________________________________

Mailing Address: ______________________________________________________

City, ST, Zip: _________________________________________________________

Telephone Number: (______) _________________________

Email: ________________________________________________________________

Please Choose One: $100 _____ Judge’s License $75  _____ Auditor

Please give a brief explanation of why you are taking NDGA Judge’s Training:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(signature)___________________________________________(date)___________________

Please send check and signed form to:

Denae Steelman
PO Box 989
Llano, TX 78643

Make Checks payable to: NDGA