Market Animal Weigh-in Form
Species:__Swine__ Year:_2016_
Weigh-in Date March 26-27, 2016
County:__Osage__
Exhibitor Name(s) ___________________________________________
Daytime Phone #________________________
Full Mailing Address __________________________________________
Evening Phone # ________________________
ID #
Date of
Birth
Sex
Breed
Weigh-in Weight
Nose
Print?
Parents’ Name
List in Sale Bill
(Yes or No)
If an animal is owned by family members jointly the information should be listed on each member’s form.
I certify that the above listed animals are owned by me and are being cared for as a part of my 4-H or FFA project and that I am a
member in good standing in the 4-H _______________________________ or the FFA Program ______________________________.
(name)
(name)
_____________________________
Signature of Member
Date ____________
___________________________________
Signature of Project Leader or FFA Advisor
Completed Form must be returned to the Osage County Extension Office by April 4, 2016
Along with $20.00 ($10.00 entry fee $10.00 scanning fee) Payable to Osage County Fairboard.
Date ____________