State Capital Explorer Competition Entry Form

* = Required Field

Section I

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Section II

X $125.00
X $90.00
AGE OF PARTICIPANTS: Exploring is a Learning for Life's career - education program for young men and women age 15 (and who have completed eight grade) to 20 years old.

Section III - Advisor T-Shirts (REGISTERED ADVISORS ONLY)

Section IV - Explorer T-Shirts

Section V - Friday & Saturday Meals

(Please explain: ie, Vegan, Gluten free, vegetarian, and for what meals and how many.)

Section VI - Release & Waiver of Liability


RELEASE AND LIABILITY FORM MUST BE COMPLETED FOR EACH PARTICIPANT AND SUBMITTED WITH PAYMENT.
 RELEASE AND LIABILITY FORM
COMPETITION PACKET

Section VII - Payment Information

Payments are due by March 15, 2019.
Refunds not available after March 15, 2019.

All returned checks will be charged a $25.00 service fee
Make checks payable to:
STATEWIDE EXPLORER FUND
601 N. 7TH STREET
SACRAMENTO, CA 95811

Section VIII - Additional Information

For additional information visit http://www.chp.ca.gov/chp-careers/explorer.

Chris Albano, Coordinator
(916) 843-3228
Christopher.Albano@chp.ca.gov

Deby Sherrick-Lopez, Coordinator
(916) 843-3376
Dsherricklopez@chp.ca.gov

Charmaine Fajardo, Coordinator
(916) 843-3276
cfajardo@chp.ca.gov

Section IX - Verification

ANY INAPPROPRIATE CONDUCT OR DAMAGE AT THE EVENT CENTER, OR YOUR PLACE OF LODGING, MAY CAUSE YOUR POST TO BE EVICTED FROM THE EVENT WITHOUT A REFUND OF ENTRY FEE.

I verify the information I have submitted is accurate, and understand that unacceptable behavior or actions during this competition can lead to my Explorer Post being dismissed.

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