Ramona Parlor #109 Native Sons of the Golden West

Application for Competition

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Ramona Museum of California History
Ramona Parlor #109
Native Sons of the Golden West

Application for Competition

( ) Mission Competition ( ) High School Public Speaking Contest

Contestant Name:_________________________________________________

Address:__________________________________________________________

City:________________________________ State:________ Zip:__________

Telephone: (_____)____________Email__________________@_____________

School:____________________________________________________________

Teacher:____________________________ Grade Level__________________

Name of Parent or Guardian:_______________________________________

Address:___________________________________________________________

City:_______________________________ State:__________ Zip:__________

Telephone: (______)_____________

I have read and understand the rules of the competition I am entering. I agree to abide by the rules. I have spoken to my parents about the competition and they have agreed to allow me to enter.

Signed (Student)___________________________________ Date___________

Signed (Parent/Guardian)___________________________________________

Fax or mail completed applications to:

Ramona Museum of California History
P.O. Box 292
San Gabriel, California 91778
(626) 288-2026 Fax (626) 288-0339