| Name: |
| Address: |
| Town/Suburb: | Postcode: |
| D.O.B (Jun/Juv) | Phone: |
| Duo/Group Name | Club: |
|
Saturday 8:30am May 16 2009
|
Sunday 8am May 17 2009
|
| I/WE do solemnly and sincerely affirm that I/WE have read the attached rules laid down by the WEST MORETON COUNTRY MUSIC ASSOCIATION INC and will abide by those rules. If not, I/WE may be disqualified from the relevant section. |
| Signature:_____________________________ | Date: |