2017 Manatee County Fair Animal Entry Form

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)____________________________________________