La Porte Livestock Show & Rodeo Association
Steer & Heifer Entry Application
The following forms must accompany this entry application: W9, Release Form, and a Residue Avoidance & Food Safety Program Form.
EXHIBITOR
NAME:____________________________________________
DATE___________________________________
ADDRESS__________________________________________
TELEPHONE (_____)______________________
CITY__________________________________
ZIP______________________________________
Street__________________________________________________________________________City________________________
(ADDRESS WHERE ANIMAL IS LOCATED IF DIFFERENT FROM MAILING ADDRESS)
CHECK AGE DIVISION AS OF September 1, 2011
JR. (8-& in the 3rd grade - 13)
CHECK WHICH CLUB YOU ARE SHOWING UNDER
Jr. FFA
SR (14-19)
FFA
**
4-H
4-H (Clover)
EXHIBITORS MAY ONLY SHOW ONE ENTRY PER DIVISION, BUT MAY PURCHASE ADDITIONAL TAGS
1ST/Primary Tag
$15.00
MARKET STEER
BREEDING HEIFER
Breeding Heifer Registration Information:
$15.00
Add’l Tags
$5.00
Qty
Total
$5.00
.
Breed ___________________________________________ Animal Name ____________________________________________
Registry No.____________________ Brand/Ear Tag #___________ Date of Birth (required) ____________________________
Name of Sire _____________________________________Registry No._______________________________________________
Name of Dam ____________________________________ Registry No._______________________________________________
Breed ___________________________________________ Animal Name ____________________________________________
Registry No.____________________ Brand/Ear Tag #___________ Date of Birth (required) ____________________________
Name of Sire _____________________________________Registry No._______________________________________________
Name of Dam ____________________________________ Registry No._______________________________________________
Breed ___________________________________________ Animal Name ____________________________________________
Registry No.____________________ Brand/Ear Tag #___________ Date of Birth (required) ____________________________
Name of Sire _____________________________________Registry No._______________________________________________
Name of Dam ____________________________________ Registry No._______________________________________________
___________________________________________________________________________________________________________
* * * STEER AND HEIFER ENTRY DEADLINE November 12, 2011 ---NO LATE ENTRY WILL BE ACCEPTED
TOTAL DUE _____________________________________________
! ! CASH OR MONEY ORDER ONLY ! !
Exhibitor agrees to abide by all Rules and Regulations of the LPLS&RA. I agree to abide by all rules and regulations as published in the La Porte
Livestock Show and Auction General Rules and Regulations hand out.
______________________________________________
_____________________________________________________
Exhibitor’s Signature
Exhibitor’s parent or legal guardian’s signature
Form Checked & Payment Received by______________________________________________________Date_____________
(LPLSRA Representative)