A separate application for each member is required
Date _______________________________
Name ________________________________________________________________________________________
Street or P O Box # (911 Address) ________________________________________________________________
City _________________________________________ State ________ Zip Code ________________________
Phone # _____________________________E-Mail Address ___________________________________________
Holstein USA Account # (Found on Registration papers)_______________________________________________
Date of Birth _________________________________________________________________________________
Parent’s Name ________________________________________________________________________________
Parent’s Address ______________________________________________________________________________
Name of parent or guardian that is a resident of the State of Virginia _____________________________________
Lifetime membership dues $__________(See reverse for schedule)
Or
Annual Membership Dues $ 3.00
I have read and understand the rules and requirement to be a member of the Virginia Junior Holstein Association.
_______________________________________________________
(Applicant’s Signature and Date)
I have read and understand the rules and requirement for my son/daughter to be a member of the Virginia Junior Holstein Association and I am a resident of the State of Virginia.
_______________________________________________________
(Applicant’s parent/guardian Signature and Date)
Do not send cash. Make checks payable to the Virginia Junior Holstein Association and mail the check and completed application form to the address above.
Dues of $3.00 per year must be paid by May 1 of the current year (or deadline or date of specified activity) to be eligible to participate in the activities and programs of the Virginia Junior Holstein Association.
The Virginia Junior Holstein Association has adopted the following lifetime membership dues schedule. This allows you to pay a one time lifetime membership dues that will entitle you to membership in the Virginia Junior Holstein Association until December 31 of the year you turn 21 years of age. Please note that Junior membership is allowed for youth 0 to 8 year of age, but member might not be eligible to participate in all junior sponsored activities or contest. Be sure to read the specific rules for each contest or event. There will be no refunds for inactive members.
Age in Current Year Dues Age in Current Year Dues
0 $66.00 11 $33.00
1 63.00 12 30.00
2 60.00 13 27.00
3 57.00 14 24.00
4 54.00 15 21.00
5 51.00 16 18.00
6 48.00 17 15.00
7 45.00 18 12.00
8 42.00 19 9.00
9 39.00 20 6.00
10 36.00 21 3.00
To be able to participate in the following activities/award programs you must be a paid member of the Virginia Junior Holstein Association by May 1 of the Current Year (or deadline or date of specific activity). Parent and/or guardian must be a resident of State of Virginia.
 | Virginia Spring Holstein Show (Must be current paid member) |
| Summer Holstein Show and animals must be registered in the individual’s name by May 1 of current year. |
| New members (Has never been a member of the Virginia junior Holstein Assoc) may show at the summer Holstein show, if they have paid their dues by the date of the show. |
| Junior All Virginia Awards |
| Junior Holstein Production Awards |
| Distinguished Junior Member Contest |
| Virginia Junior Holstein Association Scholarship |
| Participation Contest |
| Holstein Dairy Quiz Bowl |
Mail completed form to:
P.O. Box 340
Midland, VA 22728
Phone and Fax: 540-439-2980