Livestock Department Entry Form-Release And Waiver Of Liability Agreement

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LIVESTOCK DEPARTMENT ENTRY FORM
EL DORADO COUNTY FAIR
BEEF
100 Placerville Drive, Placerville, CA 95667
530-621-5860
PLEASE TYPE OR PRINT - USE SEPARATE FORM FOR EACH DIVISION
Name
Age
Club
Project Leader Signature
I certify that these entries are the project of the exhibitor and are eligible to be shown in accordance with the rules of the El Dorado County Fair and the State of California.
Signature
Date
Parent Signature
Community Leader Signature
Please accept these entries subject to the Rules and Regulations published in the El Dorado Country Fair Entry Guide. I understand that my entries will not be accepted until the Drug Statement (market animals only) and Release & Waiver on the reverse have been signed.
E-mail
Mailing Address
City
Zip
Phone
BREEDING ANIMALS ONLY
Species __________________________
Total Number of Animals (not entries) _____________
DOB
BREED
SEX
REG#
DIV#
CLASS
CLASS DESCRIPTION
EAR
ENTRY
TAG
FEE
CONSULT ENTRY BOOK FOR CLASS NUMBERS, ENTRY FEES,
ENTRY CLOSING, IN-PLACE & JUDGING DATES
Showmanship
DIV#
Class
Total Entry Fees $______________
$1.00
Animal Liability Insurance $______________
Exhibitor $______________
Date ____________________
Up to two parents _______x_______$______________
Other $______________
Receipt# ___________ Initials __________
TOTAL PAID $______________

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