4-H/jr. Grange/ffa/industrial Ed. Entry Form-El Dorado County Fair

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4-H/JR. GRANGE/FFA/INDUSTRIAL ED. ENTRY FORM
EL DORADO COUNTY FAIR
Except Horse Show & Livestock
100 Placerville Drive, Placerville, CA 95667
530-621-5860
PLEASE TYPE OR PRINT
Form may be photocopied
(
)
/
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Exhibitor’s Name
Phone
Date of Birth
Age
E-mail
Mailing Address
City
Zip
Date
RELEASE AND WAIVER OF LIABILITY: Please accept the entries (property) described herein. I have read, understand and agree to abide by all the rules and regulations
governing the Fair entries as published in the official Entry Guide. I agree to indemnify, defend and hold harmless the El Dorado County Fair and the State of California, their
officers, agents and employees from any and all claims and losses accruing or resulting to any and all persons in connection with my participation in the Fair and from any
and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged as a result of my participation.
I certify that I have read the statement listed above.
Signature of Owner/Agent
Signature of Parent or Guardian
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.
Chapter/Club/Class
Signature of Leader or Instructor
Were you entered in the Fair last year? Yes ( ) No ( ) Check here if your address has changed ( )
CONSULT Entry Guide. FOR CLASS NUMBERS, ENTRY CLOSING DATES AND EXHIBIT RECEIVING DATES
PLEASE CHECK ONE
( )4-H
( ) Jr. Grange
( ) FFA
( ) Industrial Education
Fair
Use Description in Entry Guide.
Fair Use Only
Use
Division
Class
Where instructed, specify name, kind, type, etc.
Entry
Only
No.
No.
Art and Photo Entries, please list title of work.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Fair Use Only
Total Entry Fees ________
Date ___________________
TOTAL PAID $ __________
Receipt No. ______________
Exhibitor No. ____________

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