$2.50 FAIR ENTRY FEE
DATE RECEIVED:____________________
2016 CAMBRIA COUNTY 4-H MEAT BREEDING GOAT ENTRY/REGISTRATION FORM
FOR
CAMBRIA COUNTY EXTENSION OFFICE AND THE CAMBRIA COUNTY FAIR
ALL REGISTRATIONS AND TAG NUMBERS MUST BE IN THE
CAMBRIA COUNTY EXTENSION OFFICE
NO LATER THAN JUNE 15, 2016 BY 4:00 P.M.
Meat Breeding Goat must be owned and in your possession by June 1st.
ONE (1) ANIMAL PER FORM
*REGISTRATIONS SUBMITTED AFTER DEADLINE DATE WILL NOT BE ACCEPTED*
EXHIBITOR NAME: _____________________________________________________________________ PHONE: ____________________________
STREET/BOX: _____________________________________________________________________________________________________________
CITY/STATE/ZIP: __________________________________________________________________________________________________________
BIRTHDATE: ___________________________________________ 4-H AGE AS OF JANUARY 1ST : ______________________________________
4-H CLUB NAME: __________________________________________________________________________________________________________
PARENT/GUARDIAN NAME(S): _______________________________________________________________________________________________
MEAT BREEDING GOAT INFORMATION:
ANIMAL SCRAPIE EAR TAG ID/TATTOO#___________________________________________ ANIMAL’S DATE OF BIRTH____________________
TATTOO#___________________________________________
ANIMAL’S SEX: DOE______________
ANIMAL’S REGISTRATION NUMBER_______________________________ASSOCIATION ANIMAL IS REGISTERED THROUGH_______________
CHECK ONE:
FULLBLOOD/PUREBRED(94% OR HIGHER)______
PERCENTAGE(50%-93%)_____
CROSSBRED_____
(COPY OF REGISTRATION CERTIFICATE SHOULD ACCOMPANY THIS FORM - MUST BE IN EXTENSION OFFICE BY AUGUST 1ST)
*ALL NON-REGISTERED ANIMALS WILL BE SHOWN IN CROSSBRED CLASSES*
IS ANIMAL HOUSED AT THE ABOVE ADDRESS: YES____
NO____ IF NO, PLEASE INCLUDE FULL ADDRESS WHERE ANIMAL IS HOUSED:
_________________________________________________________________________________________________________________________
TWO (2) LEADER SIGNATURES ARE REQUIRED TO VERIFY EAR TAG/TATTOO NUMBERS
LEADER SIGNATURE: _______________________________________________________________________________________
LEADER SIGNATURE: _______________________________________________________________________________________
PARENT AND 4-Her MUST SIGN THE FOLLOWING PAGE OF THIS FORM
2016 CAMBRIA COUNTY FAIR ENTRY FORM
DEPARTMENT 10 – 4-H MEAT BREEDING GOAT ENTRY FORM
DEADLINE – JUNE 15, 2016 – 4:00 P.M. – CAMBRIA COUNTY EXTENSION OFFICE
ENTRIES WILL NOT BE ACCCEPTED WITHOUT FEE ($2.50 FAIR ENTRY FEE PER LIVESTOCK HEAD)
LATE ENTRIES WILL NOT BE ACCEPTED
PLEASE PRINT EXHIBITOR NAME: _______________________________________________________________________
BY SIGNING THIS FORM I AGREE TO ABIDE BY THE FOLLOWING:
1.
2.
3.
4.
5.
6.
7.
A PENALTY OF $25.00 PER ANIMAL WILL BE CHARGED TO THE OWNER OF EACH ANIMAL ENTERED BUT NOT EXHIBITED AT THE FAIR.
ENTRIES THAT ARE CANCELLED ON OR BEFORE AUGUST 15, 2016, MUST BE OF WRITTEN NOTIFICATION AND WILL NOT BE ASSESSED THE
$25.00 PENALTY. IN EXTREME OR UNUSUAL CIRCUMSTANCES AN APPEAL OF THE ASSESSMENT OF THE PENALTY WILL BE CONSIDERED BY
THE CAMBRIA COUNTY FAIR.
THE GENERAL/LIVESTOCK REGULATIONS SET FORTH BY THE CAMBRIA COUNTY FAIR. (SEE CAMBRIA COUNTY FAIR WEBSITE FOR
GENERAL/LIVESTOCK RULES AND REGULATIONS FOR 4-H EXHIBITORS AT FAIR.) cambriacofair.com
ALL 4-H PROJECT BOOK REQUIREMENTS, INCLUDING BUT NOT LIMITED TO, CARING AND WORKING WITH MY PROJECT ANIMAL ON A
REGULAR BASIS, REGULARLY ATTENDING CLUB MEETINGS AND COMPLETING PROJECT RECORDS.
I ACCEPT SOLE RESPONSIBILITY FOR ANY LOSS, INJURY, OR DAMAGE DONE OR OCCASIONED BY OR ARISING FROM ANY EXHIBIT ENTERED
BY MYSELF AND SHALL INDEMNIFY AND HOLD HARMLESS THE CAMBRIA COUNTY FAIR AGAINST SUCH LOSS, INJURY, OR DAMAGE.
ALLOW THE FAIR OFFICE TO PUBLISH PHOTOS OF MYSELF ON THEIR WEBSITE AND IN ANY ADVERTISING USED SOLELY FOR FAIR. PLEASE
CHECK IF WE CANNOT PUBLISH PHOTOS. NO______
I AGREE TO ABIDE BY THE CODE OF SHOW RING ETHICS AND I UNDERSTAND THAT ALL JUDGE DECISIONS ARE FINAL.
I ATTEST AND AFFIRM THAT A “VETERINARY-CLIENT-PATIENT RELATIONSHIP” – AS THAT PHRASE IS DEFINED IN THE ANIMAL EXHIBITION
SANITATION LAW FOUND AT 3 Pa. C.S.A.§ 2501 et seq. AND ANY AMENDMENTS THERETO - EXISTS WITH REGARD TO ANY ANIIMALS I WILL BE
EXHIBITING. PLEASE PRINT NAME AND ADDRESS OF DOCTOR OF VETERINARY MEDICINE MAKING VETERINARY MEDICAL JUDGEMENTS
REGARDING THE HEALTH OF THE ANIMAL.
VETERINARY
NAME/ADDRESS_____________________________________________________________________________________________________________
ONLY (1) ONE ANIMAL PER FORM.
EXHIBITORS MUST BE PRESENT AND HAVE CHARGE OF THEIR ANIMALS AT ALL TIMES. See cambriacounty fair.com for details
DEPT.
SEC.
CLASS
SCRAPIE EAR TAG/TATTOO#
BREED
DESCRIPTION
10
607
62
GOOD HOUSEKEEPING
10
607
63
STALL DECORATIONS
10
STOCKMAN
10
SHOWMAN
EXHIBITOR SIGNATURE: _______________________________________________________
DATE: _____________________________
PARENT/GUARDIAN SIGNATURE:________________________________________________
DATE: _____________________________
ALL REGISTRATION FORMS MUST BE TAKEN TO THE CAMBRIA COUNTY EXTENSION OFFICE WHO WILL THEN FORWARD THE FAIR
REGISTRATION ON TO THE CAMBRIA COUNTY FAIR OFFICE. SEPARATE FAIR FORMS WILL NOT BE REQUIRED.
EXHIBITOR NAME:___________________________________________
ATTACH PICTURES OF BOTH LEFT AND RIGHT SIDES OF THE ANIMAL.
LEFT SIDE PICTURE
RIGHT SIDE PICTURE
GOOD LUCK WITH YOUR PROJECT ANIMAL
REVISED NOVEMBER 2015
PENN STATE IS COMMITTED TO AFFIRMATIVE ACTION, EQUAL OPPORTUNITY, AND THE DIVERSITY OF ITS WORKFORCE