2015 NPGA National Convention Champion Challenge June 19th, 2015 * Tehama County Fairgrounds, Red Bluff, California Exhibitor: Phone: Address: E-Mail: _______________________ City: ________________________________ State: Class Name of Goat Linda Henwood P.O. Box 6257 Auburn, CA 95604-6257 Cell 530 368-6837 Whirlwind@wavecable.com Mail pre-entries by May 22, 2015 to: ZIP Code: __________ Birth Date Reg #: Reg #: Reg #: Reg #: Reg #: Reg #: Reg #: Reg #: Reg #: Sire/Dam Owner/Breeder Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Sire: Owner: Dam: Breeder: Micro: Tattoo Right: Tattoo Left: Tattoo Left: Tattoo Left: Tattoo Left: Tattoo Left: Tattoo Left: Tattoo Left: Tattoo Left: Tattoo Left: Fees Entry: No Charge for National Challenge animal Pen: Camping $10.00 per pen (entire show) RV $25.00 per night/ hookups Tent $5.00 per night Banquet: List selections and prices (pre-pay with entry) Adult $18 _______________________ Youth (under 12) $8 _______________ Bringing a Raffle Item ____ Shows/ Quantity Price Subtotal 0.00 X = 10.00 25.00 5.00 X X X = = = 18.00 8.00 X X = = Please Make Checks Payable to SPPGA Convention 2015 Club Use Only Total Due: Paid: Ck #_________ Cash __________ $___________ $___________ Balance $ __________ ** Corrections -- Notify Exhibitor Papers checked by ________________________ Total Due Special Pen Request: *Please note this form is for the National Champion Challenge Only* National Champion Challenge – Friday June 19th, 2015. PGCH Does and bucks and qualified wethers must be in place and checked in by 5:00 pm Friday June 19 th, 2015. All goats must be tattooed or microchipped to be shown in the National Champion Challenge. Registration papers must be checked. NPGA show rules state that proof of permanent status must be furnished to the JTC chair or his/her designee prior to commencement of the National Champion Challenge. Wethers must have won three signed Best Wether Awards at NPGA shows to compete. There is no entry fee for the National Champion Challenge. This show is sanctioned by the National Pygmy Goat Association (NPGA) with NPGA rules to govern and take precedence over all others. Registered doe and buck divisions must have an original registration certificate and, when applicable, a transfer of ownership less than 90 days old. Papers checked at registration. No animals permitted on the grounds that show evidence of illness. Hold Harmless Agreement I agree to hold the National Pygmy Goat Association (NPGA), the Sierra-Pacific Pygmy Goat Association (SPPGA), and their officers, directors, and all personnel associated therewith harmless from any and all legal action to which they might become subject resulting from any incident at an NPGA/SPPGA event/show. This Hold Harmless Agreement shall also extend to the owners and/or operators of the grounds and facilities, which may be used, by my family, my animals, and myself. I have also read, understood and agreed to all the rules and provisions in the show bill and entry forms pertaining to this event/show. I understand that all attendees are responsible for minors, guests, and/or animals while on the premises of any NPGA/SPPGA event/show. Any vandalism, damages or inappropriate behavior may result in the request for restitution of damages, expulsion from premises, and loss of show registration fees, and loss of SPPGA membership, depending upon the severity of action. I further agree to keep all dogs on a leash outside the barn area and away from the goat pens and arena. Signature: ________________________________________ Date: ___________________________