ANIMAL ENTRY FORM ENTRIES CLOSE 5PM FRIDAY 27 APRIL

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ANIMAL ENTRY FORM

ENTRIES CLOSE 5PM FRIDAY 27 APRIL 2012

Entry and entry fees to:

Cath Lukin, Entry Steward

465 Wallington Road

Wallington VIC 3221

Enquiries to:

Bob Clark, Show Convenor

Ph: 03 5261 3714

Email: kurrawa@ozemail.com.au

Entry Fees:

Animal: $20.00 for first alpaca, $12.00 per additional animal.

Pen Fee: $20.00 per single pen, $25.00 per double pen.

Progeny Classes: $10:00 (Entries accepted on the day of show).

Fan Fee: $20 for the first two fans. $5 per additional fan.

Late entries will not be accepted.

Entry fees must accompany the entry form and payment summary form, plus herd health status declaration.

Please print all details clearly.

Include with your entry a business size stamped, self-addressed envelope, or include your email address if you require acknowledgement.

ANIMAL ENTRY CLASSES

Sect

No

Class

No:

Name of animal (including prefix) IAR DOB Sex

Colour

Date Last

Shorn

Sire’s Name & Dam’s Name (including prefixes)

S

D

S

D

S

D

S

D

S

D

 Age of fleece means the time in months between this shearing and the previous shearing (if any)

Declaration:

1 . I have read the General Regulations and Conditions contained in the Show Schedule and understand that my entry in the show has been accepted subject to those regulations and conditions. I agree to be bound by all the rules outlined in the current Australian Alpaca Association Showing Rules manual and abide by all matters in connection with or arising out of the competition.

2 . I certify that the details given on this entry form are correct.

3 . I agree that no exhibit shall be exhibited from a herd or Stud/property for which either ;

(a) Proof of accreditation under Alpaca JD MAP program is provided or origin from a state recognised as a JD protected area, or

(b ) For non-assessed alpacas not originating from a

State recognised as a Johne’s Disease protected area, a signed declaration verifying that the exhibits have not at any period of their lifetime been in a herd or on a property, when at any time Johne’s Disease was known or suspected to exist.

PENNING DETAILS : Please

appropriate box. Non Assessed

Q-Alpaca

Certificate No __________

MN1

MN2

MN3

Expiry Date ____________

Name of Exhibitor/Owner: ________________________________________________________

(List multiple owners if applicable)

Stud Name: __________________________________________________Herd Code: _______

Postal Address: _______________________________________________P/ Code: _________

Name & Address of Agent, if acting for owner: ________________________________________

_____________________________________________________________________________

Contact Phone: ___________________________ Mobile: ______________________________

Signature of Owner: _________________________________________ Date:_______________

Email: _______________________________________________________________________.

NUMBER OF PENS : ________ PEN MY ANIMALS WITH : ________________________________________

Have you been breeding alpacas for 5 years or less? YES

NO

STUD

ANIMAL ENTRY CLASSES

Sect

No

Class

No:

Name of animal (including prefix)

Supplementary Entry Form Sheet

(Page _____ )

HERD CODE

IAR

EXHIBITOR’S NAME

DOB Sex

Colour

Shearing

Date

D

S

D

S

D

S

D

S

D

S

D

S

D

S

D

S

S

D

S

D

S

D

Sire’s Name & Dam’s Name (including prefixes)

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