MONONA COUNTY FAIR 4-H LIVESTOCK ENTRY FORM HORSE CLUB NAME: __________________________ NAME: _________________________ ADDRESS: _________________________ PHONE: _____________ CITY, STATE, ZIP: _________________________________ GRADE JUST COMPLETED: _____________ Be sure to complete all information asked for below. Be sure to refer to your Fair Premium Book for information on health rules, and department requirements. Class Lot Description Name ID# Number of Animals: I certify the above entries are the results of this member's efforts. I have read the rules and regulations that apply to the entries I have made and agree to abide by them. Exhibitor _____________________________ Parent/Guardian ____________________________ RETURN TO EXTENSION OFFICE BY JULY 1