(Note: Please Click 'Print form' to print a blank form which can be completed and mailed by hand to the club.)
Description
Category Letter & Num.
I certify that all entries submitted are my own making or by a "Designated team" and in accordance with the published rules 2012. I absolve the PEIWCA from any loss or damage to my entries.
I recognize the decision of the Judges is final.
Important Note: It is understood that when this form is completed by the entrant and received by the competition committee it is considered to be certified and signed by the entrant.
Date: