Name ________________________________________________________________________ Street Address ______________________________________________________________ City ______________________________ State _______________ Zip _______________ Phone (h) (_________)__________________ (w) (_________)____________________ Email Address _______________________________________________________________ JUDGING EXPERIENCE None _____ Other ______________________________________ PLEASE ANSWER THE QUESTIONS BELOW How long have you been brewing? ____________________________________________ Approximately how many batches have you brewed? _____________________________ How many competitions have you judged in? ___________________________________ Which category(ies) are you best qualified to judge? __________________________________________________ do you prefer not to judge ________________________________________________ unable to judge ___________________________________________________________ (beer in competition)
Signature ________________________________________ Date ____________________ Please return this form to: Joe Uknalis 1626 Ludwell Dr Maple Glen, PA 19002
You can also
e-mail Joe with your information
and sign the waiver when you arrive to judge/steward