Quinte 4-H Championship Show Entry Form PLEASE PRINT CLEARLY PLEASE CIRCLE ONE: BEEF ENTRY / DAIRY ENTRY (If showing in both shows, please complete and submit separate entry forms) NAME: ______________________________________________________ COUNTY:____________________________________________ PHONE # (______)_______-__________ 4-H MEMBER BIRTH DATE ___/_____/______ MM DD YYYY BREED: _____________________________ FULL NAME OF CALF: ______________________________________________REG.#______________________ CALF BIRTH DATE ___/_____/______ MM DD EZE-IR/ CCIA TAG # __________________________________ YYYY TATTOO # SHOWMANSHIP: Please select your correct class below 1. 2. 3. 4. 5. 6. 7. 8. Novice Dairy Showmanship (9-11 years of age before January 1, 2015) Junior Dairy Showmanship (12-14 years of age before January 1, 2015) Intermediate Dairy Showmanship (15-17 years of age before January 1, 2015) Senior Dairy Showmanship (18-21 years of age before January 1, 2015) Champion Dairy Showperson & Reserve Champion Dairy Showperson Novice Beef Showmanship (9-11 years of age before January 1, 2015) Junior Beef Showmanship (12-14 years of age before January 1, 2015) Intermediate Beef Showmanship (15-17 years of age before January 1, 2015) Senior Beef Showmanship (18-21 years of age before January 1, 2015) Champion Beef Showperson & Reserve Champion Beef Showperson CONFORMATION: Please select your correct class below 12. Junior Dairy Heifer Holstein (born Mar. 1- May 31, 2015) 13. Intermediate Dairy Heifer Holstein (born Dec. 1, 2013 - Feb. 28, 2015) 14. Senior Dairy Heifer Holstein (born Sept. 1 - Nov. 30, 2014) 15. Summer Yearling Holstein (born June 1 - Aug. 31, 2014) 16. Junior Yearling Holstein (born Mar. 1- May 31, 2014) Champion Holstein Heifer & Reserve Champion Holstein Heifer 18. Dairy Heifer Coloured Breeds (born Dec. 1, 2013 – May 31, 2015) 19. Dairy Heifer Coloured Breeds (born Sept. 1 – Nov. 30, 2014) 20. Dairy Yearling Coloured Breeds (born Mar. 1 - Aug. 31, 2014) Champion Coloured Breeds Heifer 22. Junior Beef Heifer - All Breeds (born on or after Jan. 1, 2015) 23. Junior Yearling Beef Heifer - All Breeds (born Apr. 1 - Dec. 31, 2014) 24. Senior Yearling Beef Heifer - All Breeds (born Jan. 1 - Mar. 31, 2014) Champion Beef Heifer & Reserve Champion Beef Heifer Late entries will be accepted for a $15.00 fee. Please return completed form by August 14th to: Quinte Exhibition & Raceway Ben Bleecker Building, 18 Yeoman St, Belleville, ON K8P 3X2 OR Fax: 613-968-3956 OR Email: info@qer.ca