DUE BY: July 1 4-H & FFA Animal/Livestock Entry Form DUBUQUE COUNTY FAIR If you have entries in BOTH 4-H and FFA, submit them on separate Entry Forms. NAME_________________________________________ PHONE(_____)_____________ E-mail ADDRESS__________________________________________________________ GRADE CLUB__________________________________________ (Completed)_____________ List the number of animals or exhibits that you will be bringing to the fair as requested below and on the back side. Calculate and submit fees (for indicated species) with Entry Form. Number of Animals Fees Total $ Office Use Only BEEF Market Beef: Steers or Heifers $15.00/head bedding & auction fee $10.00 /head bedding fee $10.00 /head bedding fee $10.00 /head bedding fee FOR SALE (maximum of 2) PLEASE INDICATE IF DAIRY STEER Market Beef: Steers or Heifers NOT FOR SALE Cow-Calf Units (maximum of 1) Breeding Heifers (maximum of 2) SWINE Barrows / Gilts (maximum of 3) Paid by all swine exhibitors $1.00 / head auction fee $9.00/ member scanning fee SHEEP Breeding Sheep No Charge (maximum of 4) Market Lambs (maximum of 4) $1.00 / head auction fee MEAT GOAT Meat Goats (maximum of 4) Breeding Goats $1.00 / head auction fee No Charge (maximum of 4) TOTAL FEES Make checks payable to: Your 4-H Club. Each club will submit payment for their entire club to the Dubuque County Extension Office. Be sure all of your intended animals/livestock entries are included on this form. All other animals are on the back side (check both sides of the form). No late entries will be accepted. The fees for service will be used to off-set direct expenses and to support the 4-H Youth Development County Extension Program. Number of Animals Cow DAIRY POULTRY Office Use Only Heifer Class number Heifers/Cows Breed # of Birds Office Use Only (maximum of 3) BUCKET/BOTTLE CALF (maximum of 1) DAIRY GOAT Dairy Goats: Junior/Senior Does (maximum of 3) PETS Pets (maximum of 2) RABBITS # of Rabbits # of Cages Number of Rabbits (maximum of 6) HORSE Class Number Horse or Pony Name Birth date Office Use Only 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. I agree to conduct myself in an honest, ethical and upstanding manner and I understand that disciplinary actions will result if these rules are violated. I understand that I am expected to represent the program in a positive manner. I have read, understand and agree to follow the code of ethics and any other rules of competition of the fair as printed in the Livestock Rules. Exhibitors’ Signature_______________________________________________Date____________________ Parent/Guardian Signature__________________________________________Date____________________