(1) animal per form

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$4.00 TAG/FAIR ENTRY FEE DATE RECEIVED:____________________

2016 CAMBRIA COUNTY 4-H BREEDING BEEF 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 JANUARY 15, 2016 BY 4:00 P.M. 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 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.

7.

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.

3

SEC.

4

CLASS

40

CAMBRIA COUNTY EAR TAG/ID# BREED DESCRIPTION

GOOD HOUSEKEEPING 3 10 10 4 41 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.

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

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