AMERICAN HEMEROCALLIS SOCIETY
REGION 12
2007 Collier Brown Youth Award


Winner(s) of the 2007 Collier Brown Youth Award will receive 2007 AHS National Convention registration and hotel accommodations for three nights. Travel and meals, other than those included in the convention registration, will be the responsibility of the winner(s)

Competition open to Region 12 residents only.

Application (Please Print)    Photocopies accepted.

Full Name: __________________________________________Signature: ________________________________________

Age:______________ Date of Birth_____/_____/______ (Must be after July 2, 1989)

Mailing Address: ______________________________________________________________________________________

Phone: (_____) _____ - __________

Name of Parent(s) or guardian: ___________________________________________________________________________

Name of parent(s), guardian or chaperone who would accompany applicant to the convention: _________________________

Date of AHS membership:_____/_____/_____

Member of which Region 12 local club or society? ___________________________________________________________

Date of local club or society membership: _____/_____/_____

Number of cultivars grown by the applicant in an area maintained by the applicant: _________________________________

List of daylily show and dates in which applicant has entered exhibits:

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Complete the following paragraph (Use additional sheet if desired.)

I want to attend the 2007 AHS National Convention in Minneapolis, Minnesota because

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Attach two (2) letters of recommendation containing information on personal knowledge of the applicant’s involvement in daylily cultivation and exhibition. Letters are to be from the local club or society president and one other AHS member.

Submit application postmarked no later than May 1, 2007 to:

Dan and Loye Stateler, P.O. Box 27, Loughman, Florida 33858-0027    Phone (863) 424-2659