NC Jr Hereford Membership
Membership to the NC Junior Hereford Association begins at the State Hereford Sale in March. Please complete a separate form for each junior you are enrolling.
Email address *
Junior's First Name *
Your answer
Junior's Last Name *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Age as of Jan. 1 *
Your answer
Junior's Cell Number *
Please do not include dashes.
Your answer
Junior's Email Address *
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Cell Number *
No dashes
Your answer
Parent/Guardian 1 Email *
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Cell Number
No dashes
Your answer
Parent/Guardian 2 Email
Your answer
Mailing Address *
Your answer
City *
Your answer
State
Your answer
Zip *
Your answer
Please indicate if you are interested in participating in any of the following events:
Please indicate if you are interested in participating in any of the following activities at the National Jr Hereford Expo:
By typing your initials in the box below, you agree to abide by the NCJHA Code of Conduct. *
Visit www.nchereford.org/juniors to review the Code of Conduct.
Your answer
Please mail $10 per junior to NCJHA C/O Crystal Mitchem 4393 West NC 27 Hwy Vale, NC 28168.
A copy of your responses will be emailed to the address you provided.
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