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