Parent/Guardian Name: __________________________ Address: ___________________________________ City / State / Zip: ___________________________ Home Phone: ___________________ Exhibitor Cell Phone : ________________________________
Parent Cell Phone: ____________________________________
Today's Date: _______________________
Is this your first year as a MCCA member? _____Yes _____ No
**The first exhibitor is $40, each one after that in the same household is $35.
** One subscription to the Show Circuit per MCCA household.
MCCA c/o Samantha Graves
8305 Liv 241
Chillicothe, MO 64601
Or turn in at an upcoming show..
*** Remember points do not accumulate until the date dues are paid ***
*** If a discrepancy is believed, please notify one of the committee members ***