HOMEMADE BEER/MICROBREW ENTRY FORM
EL DORADO COUNTY FAIR
100 Placerville Drive, Placerville, CA 95667
Form may be photocopied
530-621-5860
PLEASE TYPE OR PRINT
Exhibitor’s Name
Phone
Age if over 55*
E-mail
Mailing Address
City
Zip
Date
Please include your age if you wish to be considered for the special award, a blue ribbon won by the most senior Senior.
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 o cial Entry Guide. I agree to indemnify, defend and hold harmless the El Dorado County Fair and the State of California,
their o cers, 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, rm 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
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 Use Only
Entry
Class
Entry
No.
Section
Number
Category
Beer Name
Fees
Fair Use Only
Total Entry Fees $ _______
Date ___________________
Awards Tickets $ _______
Awards Presentation Tickets: $10 each.
TOTAL FEES
$ _______
Receipt No. ______________
Exhibitor No. ____________