Hannibal Jaycees proud sponsor of
National Tom Sawyer Days
Fence Painting Contest


Hannibal, Missouri


2011 FENCE PAINTING CONTEST ENTRY FORM


July 1st Local   July 2nd State and National
(PLEASE CHECK WHICH CONTEST YOU ARE ENTERING)


PLEASE PRINT


NAME__________________________________________________________________________


AGE_____________________SOCIAL SECURITY NUMBER______________________________


ADDRESS_______________________________________________________________________


CITY___________________________________STATE__________ZIP______________________


TELEPHONE (     )_________________________________________________________________


BIRTHDATE_____________________________________________________________________


SCHOOL NAME______________________________________________GRADE______________


FAVORITE SUBJECT(S)____________________________________________________________


HOBBIES________________________________________________________________________


PLEASE RETURN ENTRY FORM TO:


JENNY PABST - FENCE PAINTING CHAIRMAN

P.O. BOX 484

HANNIBAL, MO.  63401

573-795-6577

confedgirl91@yahoo.com