Costa Mesa Newport Harbor Lions Club FISH FRY
BABY CONTEST REGISTRATION
Baby Contest Date: SUNDAY, JUNE 1st
Judging begins at 1:00
pm, arrive by 12:45 Awards Presentation 2:00 pm
(Please
Print Clearly)
Group # 1 (Age 6-12 months)______ Group #2 (Age 12-24
months) _______
Childs Name ______________________________________
Boy or Girl __________
Date of Birth _______________________ Age (on
6/5/05) _____________________
Parent’s Name( s) ______________________________________________________
Street Address _________________________________City_____________________
Phone # _____ __________________Email address (Optional) _________________
____ $5.00 check & copy of Birth Record enclosed with registration
Checks Payable to: CMNH LIONS
____ If faxing. $5.00 fee & copy of Birth Record
to be turned in at judging.
Mail by May 29th to:
CMNH Lions–Fish
Fry Baby Contest, 3327 California St, Costa Mesa, CA 92626
If you
can’t mail by 5/29, Fax form by June 2nd to (714) 435-0191