*Registrations Submitted After Deadline Date Will Not Be Accepted*
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$4.00 TAG/FAIR ENTRY FEE DATE RECEIVED:______
2016 CAMBRIA COUNTY 4-H LAMB ENTRY/REGISTRATION FORM FOR CAMBRIA COUNTY EXTENSION OFFICE AND THE CAMBRIA COUNTY FAIR
ALL REGISTRATIONS AND TAG NUMBERS MUST BE IN THE CAMBRIA COUNTY EXTENSION OFFICE NO LATER THAN JUNE 15, 2016 BY 4:00 P.M. Lamb must be born on or after January 1, 2016 ONE (1) ANIMAL PER FORM *REGISTRATIONS SUBMITTED AFTER DEADLINE DATE WILL NOT BE ACCEPTED*
EXHIBITOR NAME: ______PHONE: ______
STREET/BOX: ______
CITY/STATE/ZIP: ______
BIRTHDATE: ______4-H AGE AS OF JANUARY 1ST : ______
4-H CLUB NAME: ______
PARENT/GUARDIAN NAME(S): ______
LAMB INFORMATION :
ANIMAL EAR TAG ID#: ______(Primary Identification) ANIMAL’S DATE OF BIRTH______(Must have a County Ear Tag) (Must be born on or after January 1st of current year) ANIMAL SCRAPIE EAR TAG ID#______(Secondary Identification) (Must have Scrapie Tag#) FLOCK OF ORIGIN______/______/______Farm or Breeder Name State Phone #
IS ANIMAL CAMBRIA COUNTY BRED: Yes______No______
COUNTY BRED REQUIREMENTS ARE THAT THE ANIMAL MUST BE BORN FROM A FEMALE THAT IS OWNED BY A CAMBRIA COUNTY RESIDENT THAT HAS TAKEN THE RESPONSIBILITY TO BREED THE FEMALE AND FOR THAT FEMALE TO BEAR OFF SPRING WHILE IN THEIR POSSESSION IN CAMBRIA COUNTY AND THAT OFF SPRING BE RAISED IN CAMBRIA COUNTY. CAMBRIA COUNTY BREEDER SIGNATURE IS REQUIRED BELOW OR ATTACH A SIGNED SALES RECEIPT. ______
ANIMAL’S SEX: WETHER______EWE______
CROSSBRED______PUREBRED______(IF PUREBRED) – BREED TYPE______
IS ANIMAL HOUSED AT THE ABOVE ADDRESS: YES____ NO____ IF NO, PLEASE INCLUDE FULL ADDRESS WHERE ANIMAL IS HOUSED: ______
TWO (2) LEADER SIGNATURES ARE REQUIRED TO VERIFY EAR TAG/TATTOO NUMBERS
LEADER SIGNATURE: ______
LEADER SIGNATURE: ______PARENT AND 4-Her MUST SIGN THE FOLLOWING PAGE OF THIS FORM
2016 CAMBRIA COUNTY FAIR ENTRY FORM DEPARTMENT 10 – 4-H LAMB ENTRY FORM DEADLINE – JUNE 15, 2016 – 4:00 P.M. – CAMBRIA COUNTY EXTENSION OFFICE
ENTRIES WILL NOT BE ACCCEPTED WITHOUT FEES ($4.00 TAG/FAIR ENTRY FEE PER LIVESTOCK HEAD) LATE ENTRIES WILL NOT BE ACCEPTED
PLEASE PRINT EXHIBITOR NAME: ______
BY SIGNING THIS FORM I AGREE TO ABIDE BY THE FOLLOWING:
1. A PENALTY OF $25.00 PER ANIMAL WILL BE CHARGED TO THE OWNER OF EACH ANIMAL ENTERED BUT NOT EXHIBITED AT THE FAIR. ENTRIES THAT ARE CANCELLED ON OR BEFORE AUGUST 15, 2016, MUST BE OF WRITTEN NOTIFICATION AND WILL NOT BE ASSESSED THE $25.00 PENALTY. IN EXTREME OR UNUSUAL CIRCUMSTANCES AN APPEAL OF THE ASSESSMENT OF THE PENALTY WILL BE CONSIDERED BY THE CAMBRIA COUNTY FAIR.
2. THE GENERAL/LIVESTOCK REGULATIONS SET FORTH BY THE CAMBRIA COUNTY FAIR. (SEE CAMBRIA COUNTY FAIR WEBSITE FOR GENERAL/LIVESTOCK RULES AND REGULATIONS FOR 4-H EXHIBITORS AT FAIR.) cambriacofair.com
3. ALL 4-H PROJECT BOOK REQUIREMENTS, INCLUDING BUT NOT LIMITED TO, CARING AND WORKING WITH MY PROJECT ANIMAL ON A REGULAR BASIS, REGULARLY ATTENDING CLUB MEETINGS AND COMPLETING PROJECT RECORDS.
4. I ACCEPT SOLE RESPONSIBILITY FOR ANY LOSS, INJURY, OR DAMAGE DONE OR OCCASIONED BY OR ARISING FROM ANY EXHIBIT ENTERED BY MYSELF AND SHALL INDEMNIFY AND HOLD HARMLESS THE CAMBRIA COUNTY FAIR AGAINST SUCH LOSS, INJURY, OR DAMAGE.
5. ALLOW THE FAIR OFFICE TO PUBLISH PHOTOS OF MYSELF ON THEIR WEBSITE AND IN ANY ADVERTISING USED SOLELY FOR FAIR. PLEASE CHECK IF WE CANNOT PUBLISH PHOTOS. NO______
6. I AGREE TO ABIDE BY THE CODE OF SHOW RING ETHICS AND I UNDERSTAND THAT ALL JUDGE DECISIONS ARE FINAL.
7. I ATTEST AND AFFIRM THAT A “VETERINARY-CLIENT-PATIENT RELATIONSHIP” – AS THAT PHRASE IS DEFINED IN THE ANIMAL EXHIBITION SANITATION LAW FOUND AT 3 Pa. C.S.A.§ 2501 et seq. AND ANY AMENDMENTS THERETO - EXISTS WITH REGARD TO ANY ANIIMALS I WILL BE EXHIBITING. PLEASE PRINT NAME AND ADDRESS OF DOCTOR OF VETERINARY MEDICINE MAKING VETERINARY MEDICAL JUDGEMENTS REGARDING THE HEALTH OF THE ANIMAL.
VETERINARY
NAME/ADDRESS______
ONLY (1) ONE ANIMAL PER FORM. EXHIBITORS MUST BE PRESENT AND HAVE CHARGE OF THEIR ANIMALS AT ALL TIMES. See cambriacounty fair.com for details
DEPT SEC. CLASS COUNTY EAR TAG/ID# (Primary BREED DESCRIPTION . Identification) 4 3 20 GOOD HOUSEKEEPING
4 3 21 STALL DECORATIONS
10 STOCKMAN
10 SHOWMAN
EXHIBITOR SIGNATURE: ______DATE: ______
PARENT/GUARDIAN SIGNATURE:______DATE: ______
ALL REGISTRATION FORMS MUST BE TAKEN TO THE CAMBRIA COUNTY EXTENSION OFFICE WHO WILL THEN FORWARD THE FAIR
REGISTRATION ON TO THE CAMBRIA COUNTY FAIR OFFICE. SEPARATE FAIR FORMS WILL NOT BE REQUIRED.
EXHIBITOR NAME:______
ATTACH PICTURES OF BOTH LEFT AND RIGHT SIDES OF THE ANIMAL.
IF ANIMAL IS A CROSSBRED, WHICH MAY SHOW A CHANGE IN MARKINGS AFTER SHEARING, SUCH AS BLACK SPOTS OR SPECKLES, PLEASE NOTE THIS ON THE FORM. A SECOND PHOTO MAY BE REQUESTED MID PROJECT YEAR, AFTER SHEARING HAS OCCURRED.
LEFT SIDE PICTURE RIGHT SIDE PICTURE
GOOD LUCK WITH YOUR PROJECT ANIMAL REVISED NOVEMBER 2015
PENN STATE IS COMMITTED TO AFFIRMATIVE ACTION, EQUAL OPPORTUNITY, AND THE DIVERSITY OF ITS WORKFORCE