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Nebraska State Fair - August 24 - September 3, 2012 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16
Animal Entry Form
Name |  |  |  |  |  | Parent
Mailing Address |  |  |  |  |  | City,  State, Zip
Age Jan. 1, 2012: |  |  |  |  |  | County
All 4-H club members exhibiting livestock at the State Fair must be 10 by January 1 of the current year or become 11 years of age during the current year. The last year of eligibility is the calendar year the member becomes 19.
Number of Entries - |  | A 4-H member may exhibit...3 beef (if at least one is a breeding animal, maximum of 2 market animals), 3 market hogs, 3 sheep or 4 sheep (if at least 1 is a breeding ewe), 6 dairy cattle, 3 meat (market) goats or 4 goats (if at least 1 is a breeding doe), 3 dog classes, 5 rabbits, 5 poultry entries, 4 companion animals (one per class).
Entry Fees - |  | Beef - $18.00 per head |  |  |  |  |  | Meat Goats, Sheep & Swine - $5.00 per head
 |  | Dairy Cattle - $10.00 per head |  |  |  |  |  | Dogs - $5.00 per head
 |  | Companion Animals, Poultry & Rabbits - $3.00 per animal
 |  | Dept/Div. |  | Class |  | 4-H Ear tag | Breed (Cross or Purebred  Angus, Herford, Shorthorn) |  |  | Sex |  | [NAME]. |  | Beg Date |  | Entry Fee
Market Beef | 1 | G011
 | 2 | G011
 |  | Dept/Div/Class |  | Tattoo (for all) |  | Reg. Number |  | Breed |  | Birth date |  |  |  |  |  | Entry Fee
Breeding Heifer | 1
 | 2
 | 3
 |  | I would like to purchase ____ blocking chute permits @ $10/chute permit
Dept G, [NAME]012-023
Beef Showmanship |  | I will participate in |  |  |  | Junior |  | Intermediate |  |  | Senior
 |  | Dept/Div. |  | Class |  | 4-H Ear Tag |  |  |  |  |  |  |  |  |  | Entry Fee
Market Lamb | 1 | G031 |  | 060
 | 2 | G031 |  | 060
 | 3 | G031 |  | 060
 |  | Dept/Div |  | Class |  | 4-H Ear Tag (com. tag) |  | Flock or [NAME]. Tag |  | Birth date |  |  |  | Breed |  | Entry Fee
Breeding Ewe | 1 | G032
 | 2 | G032
 | 3 | G032
 | 4 | G032
Sheep Showmanship |  |  |  | Junior |  | Intermediate |  |  | Senior
 |  | Dept/Div. |  | Class |  | [NAME] |  | [NAME] |  | Sex |  |  |  |  |  | Entry Fee
Market Swine | 1 | G035
NO TAGS ALLOWED | 2 | G035
 | 3 | G035
 | PQA + Number |  |  |  |  |  |  | Premise ID# |  |  |  |  |  |  |  | Required
[NAME] |  |  |  | Junior |  | Intermediate |  |  | Senior
 |  |  |  |  |  |  |  |  |  |  |  |  |  | Sub total |  | 0
 |  | Dept/Div. |  | Class |  | 4-H Ear Tag |  | Sex |  |  |  |  |  |  |  | Entry Fee
Meat Goat | 1 | G058
(Market Only) | 2 | G058
 | 3 | G058
 |  | Dept/Div |  | Class |  | 4-H Ear Tag (com. tag) |  | Flock or [NAME]. Tag |  | Birth date |  |  |  | Breed |  | Entry Fee
Breeding Doe | 1 | G032
 | 2 | G032
 | 3 | G032
 | 4 | G032
Meat Goat Showmanship |  |  |  | Junior |  | Intermediate |  |  | Senior
 |  | Class |  | Breed |  | Eartag, [NAME], [NAME]. Number |  | Name of Animal |  |  |  |  |  | Birth date |  | Entry Fee
Dairy | 1
 | 2
 | 3
 | 4
Dept 35, [NAME] | 5
 | 6
Dairy Showmanship/Jr. Herd |  |  |  | Junior |  | Intermediate |  | Senior |  |  | I will have a Junior Dairy Herd.
Dairy Judging |  | Open to members 10 years old or older as of January 1 of the current year. |  |  |  |  |  |  |  |  |  |  |  |  |  | Entry Fee
Contest |  | I will participate in the State Dairy Judging Contest. ($5.00/participant)
Premier Exhibitor |  | Open to members 14 years or older as of January 1.
 | Contests in Beef, Dairy, Meat Goat, Sheep, and Swine.
 |  | Beef |  | Dairy |  | Meat Goat |  | Sheep |  | Swine |  |  |  | Check one.
**Dog exhibitors should enter equal to or above the class level of participation at county fair.
Dog |  | Dept/Div. |  | Class |  | Dog's Name |  | Dog's Breed |  | Sex |  |  |  | Birth date |  | Entry Fee
 | 1 | G700
 | 2 | G701
 | 3 | G702
[NAME]-thon |  | Open to members 10 years old or older as of January 1 of the current year. |  |  |  |  |  |  |  |  |  |  |  |  |  | Entry Fee
 | I will partcipate in the Dog Skill-a-thon. ($5.00/participant)
 |  |  |  | Intermediate |  |  | Senior
Companion Animals |  | Only one animal per class, up to 4 entires.
 |  | Dept/Div. |  | Class |  | Pet's Name |  | Species |  | Sex |  |  |  | Birth date |  | Entry Fee
 | 1 | G100
 | 2 | G100
 | 3 | G100
 | 4 | G100
 |  |  |  |  |  |  |  |  |  |  |  |  |  | Sub total |  | 0
Rabbit |  | Dept/Div. |  | Class |  | Breed |  | Color |  | [NAME] | Tattoo |  |  | Birth date |  | Entry Fee
 | 1 | G080
 | 2 | G080
 | 3 | G080
 | 4 | G080
 | 5 | G080
Rabbit Showmanship |  |  |  | Junior |  | Intermediate |  | Senior
Poultry |  | Dept/Div. |  | Class |  | Breed |  | Color |  | Sex |  |  |  | Age |  | Entry Fee
 | 1 | G070
 | 2 | G070
 | 3 | G070
 | 4 | G070
 | 5 | G070
Poultry Showmanship |  |  |  | Junior |  | Intermediate |  | Senior
 |  |  |  |  | Exhibitor vehicle parking permit |  |  |  |  |  |  | ___ @ $15 each
 |  |  |  |  | Exhibitor trailer parking permit |  |  |  |  |  |  | ___ @ $15 each
 |  |  |  |  | Additional exhibitor pins (badges) |  |  |  |  |  |  | ___ @ $20 each
 |  |  |  |  |  |  |  |  | Total Entry Fee |  |  |  |  |  |  | 0