Market Animal Entry Form

Transcription

1 Market Animal Entry Form Please Note: All market animals must have DNA on file Exhibitor Full Name: Social Security Number: SNN Required for All Entries Birthdate: Junior Market Exhibitor Age (as of day of the show): All Junior Market Exhibitors must be at least 9 years old and no older than 20 years old on show day. Address: City: State: Zip: Address: Phone Number: T-Shirt Size: (Ex. Youth Small =YS Adult Small= AS) 4-H Leader/Ag Teacher Name: 4-H Club/FFA Chapter: County: Phone Number: Species: Market Hog (limit 3): x $25 Market Lamb (limit 3): x $25 Market Goat (limit 3): x $25 Market Steer (limit 2): x $75 (includes bedding for barns & tie-outs) Total Showmanship: (Check Mark) Market Hog/Pedigreed Gilt: $5 Market Lamb: $5 Market Goat: $5 Market Steer/Jr Heifer: $5 Total Exhibitor Badge (1 Required Per Entry Form): $20 Additional Exhibitor Badges: x $20 Parking Pass: x $20 Cattle Grooming Chute Permit: x $35 Lamb/Goat Fitting Stand Permit: x $20 Total Grand Total (Entry Fees, Showmanship, Extras) All entries must be postmarked by September 12, 2017 to be accepted without a late fee. After your entry form is processed and marked complete you will receive a confirmation card in the mail. Any incomplete entry forms will be mailed back to the exhibitor. There will be a $10.00 re-processing charge. For a complete list of rules and entry deadlines, please visit:

2 Pedigreed Gilt Entry Form Exhibitor Full Name: Social Security Number: SSN Required for All Entries Junior Exhibitor Age (as of day of the show): Birthdate: All Junior Exhibitors will follow the corresponding Breed Association Age Requirements Address: City: State: Zip: Address: Phone Number: Junior Breed Association: Junior Memberships No: Pedigreed Gilt (limit 3): x $25 Total Market Hog/Pedigreed Gilt Showmanship: $5 Exhibitor Badge (1 Required Per Entry Form): $20 Total Additional Exhibitor Badges: x $20 Parking Pass: x $20 Total Grand Total (Entry Fees, Showmanship, Extras) Pedigreed Gilt #1: Breed: Date of Birth (m-day-year): Ear Notch: Animal Name: Sire: Pedigreed Gilt #2: Breed: Date of Birth (m-day-year): Ear Notch: Animal Name: Sire: 2

3 Pedigreed Gilt #3: Breed: Date of Birth (m-day-year): Ear Notch: Animal Name: Sire: 3

4 Junior Heifer Entry Form Exhibitor Full Name: Social Security Number: SSN Required for All Entries Junior Exhibitor Age (as of day of the show): Birthdate: All Junior Exhibitors will follow the corresponding Breed Association age requirements Address: City: State: Zip: Address: Phone Number: Junior Breed Association: Junior Membership No: Showmanship: JUNIOR HEIFERS MUST BE OWNED BY THE EXHIBITOR Market Steer/Junior Heifer Showmanship (1 st Week Cattle) $5 Junior Heifer Showmanship (2 nd Week Cattle): $5 Total Exhibitor Badge (1 Required Per Entry Form): $20 Additional Exhibitor Badges: x $20 Parking Pass: x $20 Total Stall With (leave blank if no preference): Stall All My Cattle Breeds Together (Y, N, leave blank if no preference): 4

5 Junior Heifer #1: American Aberdeen- Jr Only ($75) Jr & Open ($125) Angus- Jr Only ($75) Jr & Open ($110) AOB/Commercial- Jr Only ($75) Braunvieh- Jr Only ($75) Jr & Open ($125) Charolais- Jr Only ($75) Jr & Open ($110) Gelbvieh- Jr Only ($75) Jr & Open ($130) Hereford- Jr Only ($75) Jr & Open ($110) Limousin- Jr Only ($75) Jr & Open ($140) Maine-Anjou- Jr Only ($75) Jr & Open ($125) Miniature Hereford- Jr Only ($75) Jr & Open ($125) Shorthorn- Jr Only ($75) Jr & Open ($110) Simmental- Jr Only ($75) Jr & Open ($140) Percentage: Date of Birth (m-day-year): Tattoo: Animal Name: Sire: Junior Class No: Junior Heifer # : American Aberdeen- Jr Only ($75) Jr & Open ($125) Angus- Jr Only ($75) Jr & Open ($110) AOB/Commercial- Jr Only ($75) Braunvieh- Jr Only ($75) Jr & Open ($125) Charolais- Jr Only ($75) Jr & Open ($110) Gelbvieh- Jr Only ($75) Jr & Open ($130) Hereford- Jr Only ($75) Jr & Open ($110) Limousin- Jr Only ($75) Jr & Open ($140) Maine-Anjou- Jr Only ($75) Jr & Open ($125) Miniature Hereford- Jr Only ($75) Jr & Open ($125) Shorthorn- Jr Only ($75) Jr & Open ($110) Simmental- Jr Only ($75) Jr & Open ($140) Percentage: Date of Birth (m-day-year): Tattoo: Animal Name: Sire: Junior Class No: 5

6 Junior Heifer # : American Aberdeen- Jr Only ($75) Jr & Open ($125) Angus- Jr Only ($75) Jr & Open ($110) AOB/Commercial- Jr Only ($75) Braunvieh- Jr Only ($75) Jr & Open ($125) Charolais- Jr Only ($75) Jr & Open ($110) Gelbvieh- Jr Only ($75) Jr & Open ($130) Hereford- Jr Only ($75) Jr & Open ($110) Limousin- Jr Only ($75) Jr & Open ($140) Maine-Anjou- Jr Only ($75) Jr & Open ($125) Miniature Hereford- Jr Only ($75) Jr & Open ($125) Shorthorn- Jr Only ($75) Jr & Open ($110) Simmental- Jr Only ($75) Jr & Open ($140) Percentage: Date of Birth (m-day-year): Tattoo: Animal Name: Sire: Junior Class No: Junior Heifer # : American Aberdeen- Jr Only ($75) Jr & Open ($125) Angus- Jr Only ($75) Jr & Open ($110) AOB/Commercial- Jr Only ($75) Braunvieh- Jr Only ($75) Jr & Open ($125) Charolais- Jr Only ($75) Jr & Open ($110) Gelbvieh- Jr Only ($75) Jr & Open ($130) Hereford- Jr Only ($75) Jr & Open ($110) Limousin- Jr Only ($75) Jr & Open ($140) Maine-Anjou- Jr Only ($75) Jr & Open ($125) Miniature Hereford- Jr Only ($75) Jr & Open ($125) Shorthorn- Jr Only ($75) Jr & Open ($110) Simmental- Jr Only ($75) Jr & Open ($140) Percentage: Date of Birth (m-day-year): Tattoo: Animal Name: Sire: Junior Class No: Total Heifer Entry Fees Grand Total (Entry Fees, Showmanship, Extras) 6

7 Open Breeding Cattle Entry Form Ranch/Farm Name (if applicable) Exhibitor Full Name: Social Security Number: SSN Required for All Entries Birthday (if under 21 years old): Address: City: State: Zip: Address: Phone Number: Exhibitor Badge (1 Required Per Entry Form): $20 Additional Exhibitor Badges: x $20 Parking Pass: x $20 Total JUNIOR HEIFERS MUST FILL OUT JUNIOR HEIFER ENTRY FORM Stall With (leave blank if no preference): Stall All My Cattle Breeds Together (Y, N, leave blank if no preference): 7

8 Animal #1: American Aberdeen- Open Show ($90) Limousin- Open Show ($105) Angus- Open Show ($75) Maine-Anjou- Open Show ($90) Braunvieh- Open Show ($90) Miniature Hereford- Open Show ($90) Charolais- Open Show ($75) Salers- Open Show ($75) Gelbvieh- Open Show ($95) Shorthorn- Open Show ($75) Hereford- Open Show ($75) Simmental- Open Show ($105) Percentage: Date of Birth (m-day-year): Tattoo: Gender (M or F): Animal Name: Sire: Owner(s): Owner(s) City: Owner(s) State: Is this animal listed in a Cattle Sale in the 2017 American Royal Livestock Show? (Y or N): Animal # : American Aberdeen- Open Show ($90) Limousin- Open Show ($105) Angus- Open Show ($75) Maine-Anjou- Open Show ($90) Braunvieh- Open Show ($90) Miniature Hereford- Open Show ($90) Charolais- Open Show ($75) Salers- Open Show ($75) Gelbvieh- Open Show ($95) Shorthorn- Open Show ($75) Hereford- Open Show ($75) Simmental- Open Show ($105) Percentage: Date of Birth (m-day-year): Tattoo: Gender (M or F): Animal Name: Sire: Owner(s): Owner(s) City: Owner(s) State: Is this animal listed in a Cattle Sale in the 2017 American Royal Livestock Show? (Y or N): 8

9 Animal # : American Aberdeen- Open Show ($90) Limousin- Open Show ($105) Angus- Open Show ($75) Maine-Anjou- Open Show ($90) Braunvieh- Open Show ($90) Miniature Hereford- Open Show ($90) Charolais- Open Show ($75) Salers- Open Show ($75) Gelbvieh- Open Show ($95) Shorthorn- Open Show ($75) Hereford- Open Show ($75) Simmental- Open Show ($105) Percentage: Date of Birth (m-day-year): Tattoo: Gender (M or F): Animal Name: Sire: Owner(s): Owner(s) City: Owner(s) State: Is this animal listed in a Cattle Sale in the 2017 American Royal Livestock Show? (Y or N): Total Open Cattle Entry Fees Grand Total (Entry Fees & Extras) 9

10 Exhibitor First Name: Exhibitor Last Name: Market Animal Grand Total: Pedigreed Gilt Grand Total: Junior Heifer Grand Total: Open Cattle Grand Total: Overall Total: Check Money Order Visa Mastercard Discover American Express Credit Card Number Expiration Date (mm-yr) Security Code Billing Address City State Zip Code Account Holder Name Signature I hereby make application to enter the described entries at the American Royal Livestock Show subject to all provisions contained in the 2017 American Royal Livestock Show Premium Book, which I certify I have read and understand. I agree to abide by and be governed by the provisions of the 2017 Premium Book, including but not limited to the Code of Ethics, Rules of Liability, Drug Testing, and the USDA Wholesome Meat Act. I certify to the best of my knowledge that feed consumed by my livestock has not contained animal by-products according to FDA Directive and that the animals do not have an illegal level of drugs in their system. Exhibitor Signature X Junior Market, Pedigreed Gilt, and Junior Heifer exhibitors are required to have a parent signature. If an Open Cattle Exhibitor is under 21 years old they must have a parent signature. Parent or Legal Guardian Name Phone Relationship with Exhibitor As exhibitor s parent or legal guardian I hereby certify that I have reviewed and approved the exhibitor s entries, and the certification and agreement of the exhibitor set forth above, and that all of the information contained in the entries is true and correct. I agree to be subject to all provisions contained in the 2017 American Royal Livestock Show Premium Book, which I certify I have read and understand. Parent or Legal Guardian Signature X 10