2017 Manatee County Fair Animal Entry Form - Page 1 Please Print in Blue or Black Ink and Fill Out Completely - All Signatures are Mandatory Exhibitor Name:_____________________________________________ Phone:_____________________________ Physical Address:_____________________________________ City:_____________________ Zip:__________ Mailing Address (If different from physical):____________________________ City:___________________ Zip:_______ Father’s Name:______________________________________ Father’s Cell:________________________ Mother’s Name:_____________________________________ Mother’s Cell:_________________________ Email:_____________________________________________________ Age as of 9/1/16:_______ Exhibitor has completed Mandatory Ethics Training Course: Yes___ No___ Ethics #:____________________ I hereby agree to enter in this event in accordance with the rules and regulations of each show and in accordance with the General Livestock Rules as provided by the Manatee River Fair Association at www.manateecountyfair.com ____________________________________________ ______________________________________________ Signature of Exhibitor BEEF BREEDING: Signature of Parent/Guardian $10.00 Registration Fee per Animal - No. of Animals Registered:____ Fee:______ Proof of Ownership:____ Showmanship: Yes____ No____ Full Body Photo-Tag Visible________ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ (*Identification includes tattoos, brands, tags, ear marking, etc., the entry should have a least one permanent form of identification, i.e. tattoo or brand. Please describe and/or draw the identification used on each entry.) Class:(Choose one) Registered Non-Registered Brahman Influence Breed * Identification Date of Birth Sex H (Heifer) C (Cow-Calf) Registration # (Only for Registered Stock) Include a copy of papers 2017 Manatee County Fair Animal Entry Form - Page 2 DAIRY: $10.00 Registration Fee per Animal No. of Animals Registered:_____ Fee:__________ Proof of Ownership or Lease Agreement:____ Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ (*Identification includes tattoos, brands, tags, ear marking, etc., the entry should have a least one permanent form of identification, i.e. tattoo or brand. Please describe and/or draw the identification used on each entry.) Breed DOG: Class No. of Animals Showing:______ Fee:___________ Date of Birth * I.D. # Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ GOAT: $5.00 Registration Fee per Animal No. of Animals Showing:______ Fee:_______ Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ (*Identification includes tattoos, brands, tags, ear marking, etc., the entry should have a least one permanent form of identification, i.e. tattoo or brand. Please describe and/or draw the identification used on each entry.) Breed HORSE: Date of Birth Tattoo Name No. of Animals Showing:______ Breed/s:_________________________ Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:__________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:_______________________________ Signature:_______________________________________ 2017 Manatee County Fair Animal Entry Form - Page 3 POULTRY: $2.00 Registration Fee per Animal - $5.00 Registration Fee per Meat Pen No. of Animals Showing:______ No. of Meat Pens:_______ Fee:_______ Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ Class of Poultry RABBIT: Breed Variety Leg Band # $2.00 Registration Fee per Animal - $5.00 Registration Fee per Meat Pen No. of Animals Showing:______ No. of Meat Pens:_______ Fee:_______ Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ Class & Sex SWINE: Breed Variety Tattoo (Left ear) $15.00 Registration Fee per Animal Fee:__________ Proof of Ownership:____ Full Body Photo-Tag Visible:____ Showmanship: Yes____ No____ Showing Through: 4-H____ FFA____ Club/Chapter Name:_______________________________________ I hereby certify that exhibitor is a bona-fide member of Man. Co. 4-H or a Man. Co. FFA member and meets all eligibility rules and regulations 4-H Leader/FFA Advisor Name:___________________________________________ Signature:_________________________________________________ *Animal ID Breed Sex Barrow or Gilt Color 2017 Manatee County Fair Exhibitor and Parent/Legal Guardian General Release Year___________________ Animal Shown_______________________ The undersigned Exhibitor and Parent/Legal Guardian desire for the Exhibitor to exhibit and show livestock at the Manatee County Fair, and to house and locate said livestock on fair property during the Manatee County Fair. In consideration for permission from the Manatee River Fair Association, Incorporated, the undersigned Exhibitor and Parent/Legal Guardian do hereby release the Manatee River Fair Association, Incorporated from any and all loss, damage, liability, injury, death or property damage, including any injury or death to any unborn child or fetus the Exhibitor may be carrying, resulting from or in connection with the housing, storage, showing and exhibition of said livestock at the Manatee County Fair. This Release is binding on and enforceable against any heirs, executors, assignees and subrogates. The undersigned acknowledges that the exhibition and care of livestock involves inherent risk of injury and the undersigned, on behalf of themselves and the Exhibitor do hereby assume all risk of injury, death or property damage. This Release was signed on _________________________________, 20____. Print Name of Exhibitor Signature of Exhibitor __________________________ _________________________________ Print Name of Father/Legal Guardian Signature of Father/Legal Guardian __________________________ _________________________________ Print Name of Mother/Legal Guardian Signature of Mother/Legal Guardian __________________________ _________________________________ ******************************************************************************STATE OF FLORIDA COUNTY OF MANATEE The Foregoing Instrument was acknowledged before me this _______ day of _______________, 20____, by ____________________________________, who is personally known/shown identification to me and who did not take an oath. Type of Identification shown:________________________ Notary Public:______________________________________ Date:___________________ (signature) My Commission Expires/Commission Number:_______________________________________ 2017 Security Entrance Pass Order Form Turn in one order form per family with the first child to check an animal or plant in Each exhibitor showing an animal or plant at the 2017 Manatee County Fair is required to purchase a Security Entrance Pass. The Security Entrance Pass cost is $15.00 per exhibitor and is to be paid with the PreRegistration Packet. Make checks payable to Manatee River Fair Association. There will be no refunds on passes. Passes will be available for pick-up Jan. 7th-8th 9am-4pm; Jan. 9th, 10th & 11th-8am-5pm in the Livestock Office. Please list each of your children that are showing an animal or plant in this top section. You may also order and pay for Commemorative Exhibitor T-shirts at this time. Please make sure you put a size by each Exhibitor name that you are ordering for (A-adult S-M-L-XL-2X-3X or C-child XS-S-M-L-XL). T-shirts are $5.00 each (exhibitors only). Please Print First and Last Name. Exhibitor 1)____________________________________________ T-shirt size______ Exhibitor 2)____________________________________________ T-shirt size______ Exhibitor 3)____________________________________________ T-shirt size______ Exhibitor 4)____________________________________________ T-shirt size______ Exhibitor 5)____________________________________________ T-shirt size______ Exhibitor 6)____________________________________________ T-shirt size______ Exhibitor 7)____________________________________________ T-shirt size______ Each family with a child/children showing an animal/animals at the 2017 Manatee County Fair may purchase four (4) Security Entrance Passes (for immediate family members only-children 5 and under do not need a pass) in addition to the exhibitors passes for $15.00 each. Payment for the family passes is due with the child’s preregistration paperwork. There will be no refunds on passes. Please Print First and Last Name (Immediate Family Only) Name 1)____________________________________________ Name 2)____________________________________________ Name 3)____________________________________________ Name 4)____________________________________________
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