To be considered for a judging assignment, please complete and submit this form by Friday, June 11, 2021.

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* 1. Full Name:

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* 2. Organization:

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* 3. Position:

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* 4. Best Contact Phone Number:

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* 5. Email address:

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* 6. Emergency Contact Name:

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* 7. Emergency Contact Phone Number:

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* 8. Do you have any dietary restrictions or medical conditions?

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* 9. Have you previously judged a Local, State or National Bus Roadeo Event?

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* 10. Please select any of the roadeo course exercises you have judged.

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* 11. Other? (If no other, type N/A)

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