Download Form 195(rev-2M-3-02)

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Form 195(rev-2M-3-02)
LIVESTOCK EXHIBIT ENTRY FORM 20 ____ Market Animal Number
Circle One:
Beef
Dairy Sheep Hogs Commercial Heifer
Circle One:
Breeding
Market
Circle One:
______________________________________________
Exhibitor's Name (Print or Type)
Goat
Dairy Goat
4-H
FFA
Adult
_________________________
Exhibitor's Birthdate
______________________________________________________________________________
PO Box, Street and Number, or RFD
City, Zip Code
Exhibitor Certification Number _____________________
Showmanship (circle one) YES or NO
Premier Exhibitor (Circle one) YES or NO
Name of Breed __________________________ Lot No. __________ Class No. __________
Complete for Registered Animals:
Date of Birth: _________________________
Sex __________________
Name of Animal ________________________________ Registry No. ____________________
For Office use Only:
Weight ____________
____________ __________
County
District
State
Placing ____________ __________
County
District
_________
State
I agree to abide by the rules as published in the applicable catalog.
______________________________________
Extension 4-h Agent or Agriculture Teacher Signature
________________________________
Exhibitor's Signature
_________________________________ or ________________________________________
4-h Entry -- Name of County and Number
FFA Entry -- Name of County and School Mailing Address
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