Fillable Breeding Swine Entry Form 105 60 40 - Butler Farm Show printable pdf download

Breeding Swine Entry Form 105 60 40 - Butler Farm Show

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BUTLER FARM SHOW

RULES AND REGULATIONS

BREEDING SWINE ENTRY FORM

FOR EXHIBITORS

ENTRIES ARE DUE JULY 14.

Ust be reaD anD signed by

xhibitor

Mail your (1) SIGNED ENTRY FORM and

ALL CLASSES MUST BE PRE-ENTERED.

(2) WAIVER OF LIABILITY to

no ringsiDe entries aCCepteD.

BUTLER FARM SHOW, INC.

1. Deadline for all livestock entries is JULY 14.

625 EVANS CITY ROAD

NO EXCEPTIONS.

BUTLER, PA 16001.

2. Please show TOTAL number of PIGS entered on the

Use a separate entry blank for

entry form.

3. Exhibitors must have a Butler Farm Show Exhibi-

EACH EXHIBITOR & EACH BREED.

tor’s number. Call the office in July if you need your

Use one line for each animal. (Include ID # or

number or a new number.

ear notch.)

4. Anyone removing their exhibits before the desig-

Use this form for Showmanship & Master Show-

nated times will forfeit their premiums.

5. Exhibitors will comply with all directions given by a

manship also. Fill in D

. & C

number.

ept

lass

Director, Farm Show Official, or any police or security

READ AND SIGN THE BACK

officer. Failure to immediately comply with directions

OF THIS ENTRY FORM.

will be cause for the exhibitor to be disqualified and be

prohibited from entering future Butler Farm Shows.

nsigneD forms will be retUrneD to yoU

Name _________________________________

I have read and agree to abide by the Rules for

Livestock Exhibitors, the Code of Ethics and all

Exhibitor No. ________ Phone _____________

rules and regulations in the premium book of the

BUTLER FARM SHOW.

Street _________________________________

PHOTO RELEASE (Please check)

_____ I will allow photographs to be taken of my son/

City ________________ State ___ ZIP_______

daughter and/or me that have the potential to

be used in Butler Farm Show exhibits or

publications, published in local newspapers,

BREED: ______________TOTAL PIGS: _____

or posted on Butler Farm Show websites

(including FaceBook) or other digital media.

iD #

lass

ame

tion

I attest and affirm that a “veterinary-client-

patient relationship” – as that phrase is defined

in the Animal Exhibition Sanitation Law found

at 3 Pa.C.S.A. § 2501 et seq. and any amendments

thereto – exists with regard to any animals I will be

exhibiting.

Print vet’s name ______________________________.

__________________________________________

ignatUre of exhibitor reqUireD

ate

showmanship

____

lass

)

___________________________________________

ill in Dept

anD Class

MASTER SHOWMAN:

ignatUre of parent

gUarDian reqUireD if exhibitor is UnDer

105

____

lass

YES

)

irCle

Breeding Swine Entry Form 105 60 40 - Butler Farm Show

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