OPEN JUNIOR DEPARTMENT ENTRY FORM
EL DORADO COUNTY FAIR
Except Horse Show & Livestock
100 Placerville Drive, Placerville, CA 95667
530-621-5860
Form may be photocopied
___ Youth 13 and Under ___ Teen 14-18
PLEASE TYPE OR PRINT
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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
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
Fair
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Date ___________________
Receipt No. ______________
Exhibitor No. ____________