Jefferson, WI 53549
Team Name:____________________________________________
* TEAM MEMBER:
NAME
Age
1. .____________________________________________________
2. .____________________________________________________
3. .____________________________________________________
4. .____________________________________________________
Team members are eligible for the contest according to the rules and
regulations.
SIGNATURE OF PERSON AUTHORIZING TEAM:
_____________________________________ DATE:___________
Please Print
NAME:____________________________________
________
ABS Global
ADDRESS:_______________________________________________
Accelerated Genetics
Ag. Source Cooperative Services
_____________________________________________________
Badgerland Financial
Busy Barns Adventure Farms
PHONE:___________________________________________ ______
EMAIL:______________
_ ______
East Central Select Sires
Fort Atkinson FFA Alumni
*Team members may be named or substituted later with no additional fee.
Sassy Cow Creamery
Mail this entry with the $20 entry fee on or before October 15, 2012. Space is
limited to the first 30 teams that enter. Please make checks payable to Cream of the
Crop 4-H Club.
Premier Insurance Solutions LLC
The Cream of the Crop Dairy Challenge
N3384 Hwy. 89