JPO JET EVENT APPLICATION FORM

Event Name ______________________________________ Event Dates ____________

AMA Sanctioned Applied for ? ____ Yes ___ No AMA Sanction # ___________

CD Name __________________________ Event Co-Ord ______________________

Address __________________________ or Co-CD Name_____________________

Phone # __________________________ Address___________________________

E-Mail # __________________________ Phone# ___________________________

JPO Member _____Yes ____ No E-Mail # __________________________

JPO Member ____Yes ____No

Host Club __________________________ Event Location _____________________

List number of years Event has been held ____________________

Attendance at Last Event __________________ (minimum 20 to receive trophy)

Are JPO Speed Traps required? ______

If YES, list address for shipping:

__________________________________

__________________________________

__________________________________

______________________________________________________________________________
Signature of CD or Event Coordinator Date

Print form out, fill in, & send to your District Representative.

Would you like to request that the JPO sponsor a Top Gun Trophy?