AUGUSTA COUNTY FAIR OFFICIAL

LIVESTOCK ENTRY FORM

                                                                                                                            #                                (Official Use Only)

                                                                                   MAIL ENTRIES TO:  AUGUSTA COUNTY FAIR

                                                                                                                                     P. O. Box 590

                                                                                                                                     Verona, Virginia 24482

EXHIBITOR’S NAME:                                                                                              

ADDRESS:                                                                                                                    CITY:                                                                            STATE:                         P.O. Box 590

ZIP:                                         PHONE:                                                               Verona, VA  24482

Birthdate (19 & under): _____________   Age (19 & under) _____

                                                                                                                            

Exhibitor and Weekly Passes $5.00 each (for parents & exhibitor – any other $15) for the week.   Everyone must have a pass.

Please indicate the number of passes needed at the bottom of the entry form.  **Money must accompany entry.**

 

EACH EXHIBITOR MUST FILL OUT A SEPARATE ENTRY FORM.  THIS FORM MAY BE DUPLICATED.

ENTRIES MUST BE POSTMARKED BY JULY 27, 2012

ALL LATE ENTRIES WILL BE CHARGED AN ENTRY FEE (IF APPLICACABLE) – NO EXCEPTIONS.

No Entry Fee for Showmanship                                                                                         No Refunds

DEPT	DIV	SECT	CLASS	NAME OF EXHIBIT	REG. NUMBER	BREED	SEX	DATE OF BIRTH	FLOCK NUMBER	ENTRY FEE

 

DEPT	DIV	SECT	CLASS	NAME OF EXHIBIT	REG. nUMBER	BREED	SEX	DATE OF BIRTH	FLOCK NUMBER	ENTRY FEE

 

            SUBTOTAL ENTRY FEE: $                   

 

      Number of Exhibitor and Weekly Passes         at $5.00 each; SUBTOTAL: $                          

                                                                                                                                                   TOTAL AMOUNT ENCLOSED: $                     

The exhibitor assumes all risks of damage or loss either to person or property for any cause whatsoever.  It is further expressly understood and agreed between the exhibitor and the Augusta County Fair that the Augusta Expoland incur no liability or obligations to the exhibitor other than permitting the exhibitor to use the grounds and/or buildings for exhibits.

SIGNATURE:                                                                                                                                  DATE:                                                                                               (Parent or Guardian signature if exhibitor is under 18 years of age by September 30, 2012)