Livestock Department Entry Form-Release And Waiver Of Liability Agreement (Page 3 of 4) in pdf

Livestock Department Entry Form-Release And Waiver Of Liability Agreement Page 3

COUNTY BRED MARKET STEER ENTRY FORM

Amador – El Dorado – Sacramento Counties

Sponsored by: AES Cattlemen’s Assoc.

County Bred Steer Class Rules:

1: Steer must be born & raised in Amador, El Dorado or Sacramento counties & by an AES Cattlemen’s Assoc. member.

2: A copy of the bill of sale & signed Affidavit will need to be mailed to & verified by AES prior to the fair to verify

qualification.

Name of Exhibitor: ___________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

Telephone _______________________________________

Email: _________________________________________________

Club or Chapter: _____________________________________________________________________________________________

Breed of Steer: ______________________________________________________________________________________________

Brand: __________________________________________ Location: _________________________________________________

Date of Purchase: _ ___________________________________________________________________________________________

Affidavit:

Please accept this entry herewith, which is subject to the rules and regulations as stipulated in the Fair Competition Handbook.

Note: Should it be determined that this form has been completed in a fraudulent manner,

all parties involved in the signing of this form shall bebarred from the AES County Bred

Steer Class in subsequent years.

“I declare under penalty of perjury that all of the above information is true and correct”.

Signature of Exhibitor: __________________________________________________ Date: ________________________________

Signature of Breeder: ___________________________________________________ Date: ________________________________

Signature of Leader or Advisor: ___________________________________________ Date: ________________________________

Livestock Department Entry Form-Release And Waiver Of Liability Agreement Page 3