Kids Q Judges Form

Please respond to the following questions and return tolbenkendorf@eaglemkt.com by April 17, 2017. Certified and Non-Certified Judges Welcome.

KIDSQ – Enid, Oklahoma on April 21, 2017.

Judging begins at 6:25pm.

One category per age division will be judged.

Name:___________________________________________

CBJ Number________ Expiration Date: ________________

Check One:    NON-CERTIFIED _____     CBJ ___    Master CBJ ___

Check One:  Certified Table Captain: Yes ______ No ______

How many contests have you served as a Table Captain: ________

Judging Experience:  (Check one)

How many contests have you judged?

0  __________

1- 5  ________

6 – 10 _______

11 – 18 ______

18+ _________

How many contests have you judged in the last year? _______

Is your spouse or significant other a CBJ Judge: Check One: yes _____ no_____

 

Home Phone: __________________________

Cell Phone: ____________________________

City____________________________  State _____

Email Address ______________________________