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4-H Livestock Entry Form
2010 Sandwich Fair
Must be postmarked by Sept. 15th to:
Mail to: 4-H Youth Dev. Educator, UNHCE
PO Box 1480
Conway, NH 03818
Fax: 447-5192
Incomplete Entries will not be accepted
Name of Exhibitor_______________________________________________________
Mailing Address__________________________________________________________
Phone___________________E-Mail_________________________County___________
Age (01/01/2010)____________________Date of Birth___________________________
Please attach a copy of your 4-H animal approval, code of conduct and medical release forms
CIRCLE TYPE OF ENTRY: GOAT SWINE DOG DAIRY SHEEP BEEF WORKING STEER
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Div. No
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Breed
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Name of Animal
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Registraton Number
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Date of Birth
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Office Use Only
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****DO NOT SEND CAMPING FORMS TO 4-H OFFICE****
Send to: Sandwich Fair, PO Box 161, Sandwich, NH 03227
4-H Livestock Exhibitor Entry Statement
I have read and understand, consent to, and agree to abide by the Guidelines for 4-H shows as stated in the 4-H Livestock Department guidelines. A separate copy may be obtained on request from the Carroll County Extension Office.
I have read and understand, consent to and agree that all 4-H animals are shown at the risk of the 4-H owner or 4-H lessee. Any damage to persons or property are the legal and financial responsibility of the 4-H member who owns or leases the animal and their family.
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Exhibitor, (owner and/or lessee) Date
_________________________________________________
Parent or Guardian of the above signature Date
NOTE: The State of New Hampshire will be randomly appearing and selecting animals to test
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