46 -- 2021 New Holland Fair Premium Book DUE TO PA STATE REGULATIONS, THE FORMS ON THE THIS PAGE MUST BE FILLED OUT AND RETURNED
PET PARADE ENTRY FORM
Name _______________________________________________________ Phone No. _____________________________________ Parent/Guardian Name ________________________________________ Entry Class ____________________________________ Address _____________________________________________________ Type Of Pet ____________________________________ _____________________________________________________________
Section 300 - PET PARADE
SATURDAY, OCT. 2, 2021 • 1:00 P.M. (immediately following the Baby Parade)
Chairperson: Kelci Robbins -w (717) 431-7398 • 354 Farm View Drive, East Earl, PA 17519 PRIZES! Ribbons and Treats for all Entrants • Best of Show – $25 First Prize – $10 Second Prize – $6 Third Prize – $4 ENTRY CLASSES 1. Most Creative Float - Covers all pets on wheels. a.) One pet. b.) Multiple pets. 2. Most Unusual Pet - “WOW … What is that?” 3. Owner - Pet Look Alike - Au natural, NO COSTUME. 4. Owner - Pet Team Theme - Owners and pets must be costumed. 5. Most Beautiful Cat - “What a stunner!”
6. Most Handsome Dog 7. Best Dressed Pet - Walking 8. That Pet Has Talent - Check out what this pet can do!
PARADE ROUTE: Parade forms at St. Stephens Church parking lot, E. Main St., goes west on Main Street, south on Roberts, east on Franklin. Check newhollandfair.org for registration information. All registrants must be at St. Stephen’s Church no later than 12 noon Saturday for judging. There is no rain date for the parade. Registration is suggested but walk-ins are welcome.
Bring Your Pet and Join the Parade! Each pet can enter only 1 category
Sponsored by
New Holland Veterinary Hospital
700 East Main Street • New Holland, Pennsylvania 17557 www.newhollandveterinaryhospital.vetsuite.com
IF YOUR PET IS NOT PEOPLE OR OTHER PET FRIENDLY, PLEASE DO NOT ENTER THEM FOR SAFETY PURPOSES. THANK YOU.
VETERINARIAN'S VERIFICATION OF VETERINARIAN-CLIENT-PATIENT RELATIONSHIP
I, the undersigned, hereby verify the following: 1. I am a licensed practitioner of veterinary medicine. 2. I have established an ongoing "veterinarian-client-patient relationship" with respect to certain animals owned by 3. These animals are described and identified as follows - all animals except for llamas, poultry, and rabbits - you may attach a copy of the "Certificate of Veterinary Inspection" (CVI) to meet this animal relationship requirement. Llamas, poultry, and rabbits do not need a CVI but need to be identified on this form. Use additional sheets as necessary. REGISTRATION NAME OR DESCRIPTION
4. I understand this ongoing "veterinarian-client-patient relationship" to be a relationship in which I, as a veterinarian, have assumed the responsibility of making veterinary medical judgments regarding the health of the animals described in the preceding paragraph and the need for veterinary medical treatment of those animals, and in which the animal owner or caretaker has agreed to follow my instructions in relation to zoonotic diseases. I verify the foregoing to be accurate. I make the foregoing statement subject to the penalties of 18 Pa.C.S.A. 4904 (relating to unsworn falsification to authorities). In witness of this, I have signed and dated this verification below. Signature of Veterinarian________________________________________________________________________ Date__________________________ Printed Name of Veterinarian_____________________________________________________________________ Address of Veterinarian_____________________________________________________________________________________________________________
ANIMAL OWNER or CARETAKER'S VERIFICATION OF VETERINARIAN-CLIENT-PATIENT RELATIONSHIP
I, the undersigned, hereby verify the following: 1. I am the owner/caretaker (circle either or both, as applicable) of the animal(s) identified as follows by ear tag, tattoo, leg band, etc. - all animals except for llamas, poultry, and rabbits - you may attach a copy of the "Certificate of Veterinary Inspection" (CVI) to meet this animal relationship requirement. Llamas, poultry, and rabbits do not need a CVI but need to be identified on this form. Use additional sheets as necessary. REGISTRATION NAME OR DESCRIPTION
2. I have established an ongoing "veterinarian-client-patient relationship" for the animal(s) described in the preceding paragraph with ___________________________________________________(print name), a licensed practitioner of veterinary medicine having the following business address:____________________________________________________________________________________________________________
3. I understand this ongoing "veterinarian-client-patient relationship" to be a relationship in which the veterinarian named in the preceding paragraph has assumed the responsibility for making veterinary medical judgments regarding the health of the animal(s) described above and the need for veterinary medical treatment of said animal(s), and in which I, as owner and/or caretaker of the animal(s), have agreed to follow the instructions of the veterinarian in relation to zoonotic diseases. I verify the foregoing to be accurate. I make the foregoing statement subject to the penalties of 18 Pa.C.S.A. 4904 (relating to unsworn falsification to authorities). In witness of this, I have signed and dated this verification below. Signature of Owner/Caretaker__________________________________________________________ Date_________________________________________ Printed Name of Owner/Caretaker____________________________________________________________________________________________________ Address of Owner/Caretaker________________________________________________________________________________________________________
