NAME ________________________________________________AGE___________________

ADDRESS ___________________________________________________________________

CITY ______________________STATE ________________ ZIP _____________________

EDGE&TA Branch # ______________ Applicant's Member # ______________________

PARENT/SPONCER ____________________________________________________________

TEST # 1                              TEST # 2
Instructor _________________________  Instructor _______________________

           PASS   FAIL                           PASS   FAIL

TEST # 3                              TEST # 4
Instructor _________________________  Instructor _______________________

           PASS   FAIL                           PASS   FAIL

APPROVED FOR        PARADE                       TRACTOR PULL
Equipment description __________________________________________________

I understand my child will be operating a tractor/motorized vehicle at 
EDGE&TA shows and parades and will be responsible for his/her activities.


SIGNATURE__________________________________________________________________
                             (Parent or Sponsor)
PRINT NAME_________________________________________________________________

ADDRESS ___________________________________________________________________

CITY ____________________STATE _____________________ZIP ___________________

EDGE&TA Branch # _____________ Branch Member # ____________________________


Parent/Sponsor Copy