$4.00 TAG/FAIR ENTRY FEE DATE RECEIVED:____________________
*
EXHIBITOR NAME: _____________________________________________________________________ PHONE: ____________________________
STREET/BOX: _____________________________________________________________________________________________________________
CITY/STATE/ZIP: __________________________________________________________________________________________________________
BIRTHDATE: ___________________________________________ 4-H AGE AS OF JANUARY 1 ST : ______________________________________
4-H CLUB NAME: __________________________________________________________________________________________________________
PARENT/GUARDIAN NAME(S): _______________________________________________________________________________________________
BREEDING BEEF CATTLE INFORMATION :
CAMBRIA COUNTY ANIMAL EAR TAG ID#: ___________________ ANIMAL’S DATE OF BIRTH_____________________________
BREED: A – ANGUS_______ B – CHAROLAIS_______ C – HEREFORD_______ D – SHORTHORN_______ E – OTHER___________________
CLASS:
1. Junior Heifer Calf_____ 2. Senior Heifer Calf_____ 3. Summer Yearling Heifer_____ 4. Junior Yearling Heifer_____ 5. Senior Yearling Heifer_____
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 BREEDING BEEF ENTRY FORM
DEADLINE – JANUARY 15, 2016 – 4:00 P.M. – CAMBRIA COUNTY EXTENSION OFFICE
ENTRIES WILL NOT BE ACCCEPTED WITHOUT FEES ($4.00 TAG/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.
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.
2.
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
3.
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.
4.
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.
5.
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______
6.
I AGREE TO ABIDE BY THE CODE OF SHOW RING ETHICS AND I UNDERSTAND THAT ALL JUDGE DECISIONS ARE FINAL.
7.
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.
3
3
10
10
SEC.
4
4
CLASS
40
41
CAMBRIA COUNTY EAR TAG/ID# BREED DESCRIPTION
GOOD HOUSEKEEPING
STALL DECORATIONS
STOCKMAN
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.

REVISED NOVEMBER 2015
PENN STATE IS COMMITTED TO AFFIRMATIVE ACTION, EQUAL OPPORTUNITY, AND THE DIVERSITY OF ITS WORKFORCE