CA WOMEN'S CHAMPIONSHIPS PARTICIPATION FORM

CA WOMEN'S CHAMPIONSHIPS PARTICIPATION

CUSBC will present an award for participation in 25 or more state championships. Fill out this form when you reach 20 years. We will keep it on file.
Date

Month Day Year
Date
Name *

First Name Last Name
Address *

Address

Address 2

City State

Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Select all years of participation *

1960 Mountain View 1961 Bakersfield 1962 Sacramento 1963 Long Beach 1964 Santa Rosa 1965 Santa Barbara 1966 Alameda Co 1967 San Fernando Valley 1968 Sacramento 1969 Orange Co 1970 Stockton 1971 Citrus Belt 1972 San Jose 1973 Bakersfield 1974 San Francisco 1975 San Diego 1976 Fresno 1977 Ventura Co 1978 Alameda Co 1979 Los Angeles 1980 Sacramento 1981 San Diego 1982 Stockton 1983 San Fernando Valley 1984 San Jose 1985 San Diego 1987 Bakersfield 1988 Sacramento 1989 San Gabriel Valley 1990 Stockton 1991 San Diego 1992 Modesto 1993 Citrus Belt 1994 Diablo 1995 Orange Co 1996 Alameda Co 1997 San Diego 1998 Sacramento 1999 San Gabriel Valley 2000 Petaluma/Redwood Empire 2001 Bakersfield 2002 San Francisco 2003 San Fernando Valley 2004 Alameda Co 2005 San Gabriel Valley 2006 Sacramento 2007 San Diego 2008 Stockton 2009 Orange Co 2010 Oroville/Yuba Sutter 2011 Ventura Co 2012 Central California 2013 San Gabriel Valley 2014 Stockton 2015 Oroville 2016 Orange County 2017 Marin County 2018 Norwalk 2019 Oroville 2022 Orange County 2023 Gr Sacramento Area (Rocklin)
Number of Years – Minimum of 20 years to submit
Comments
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