Rare breeds entry form web

Page 1

Carlisle Rare Breeds Survival Trust Show & Sale Approved Sale at Borderway Mart. Carlisle. Cumbria

Saturday 21st September 2013 OFFICIAL ENTRY FORM - SHEEP & GOATS Entries close on Monday 12tl1August 2013 Vendor Details

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Name

Address

Postcode

Tel.no

Holding & Flock Details PLEASE USE A SEPARATE FORM FOR EACH DIFFERENT BREED ENTERED & COMPLETE ALL DETAILS All sheep and goats entered MUST BE REGISTERED at time of entry

UK Holding No

Btoed

Flock Prefix Floc!t Number Flock Health Status M.9di /Visn. Accredited Other Health Schemes please spocity e.g. Scrapie Monitored. EAEetc

Yes/No


When you have filled in the detail of your entries, send the completed form(s) with remittance for entry fees due as appropriate to

HARRISON AND HETHERINGTON LIMITED, Borderway Mart, Rosehill, Carlisle, Cumbria. CA1 2RS BREED 1. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Colour

Scrapie Genotype Result

Additional Details

Dam’s Name & Reg’d No 2. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 3. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 4. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 5. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No

6. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 7. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 8 Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 9. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 10. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No 11. Prefix and Name (if any)

Sex M/F

Pedigree/Registered No.

Sire’s Name & Reg’d No

UK Eartag No

Date of Birth

Additional Details

Dam’s Name & Reg’d No Please turn over for more and entries and declaration


Prefix and Name (if any)

12.

Sex M/F

Ped19ree/Regi.tered No.

Sire'S Name & R.g路d No

UK Eartag No

Date of Birth

Colour

Scrapie GeJ101ype Result

Dat" of Birlh

Colour

Scrapie Genotype Resuh

Date 01 Birth

Colour

Scrapie GOI'lotype Result

DatG of Birth

Colour

Scrapie Genotype Result

Dam of Birth

Colour

Scrapie G-onotvpe Resull

AdditiOnal D~tails

Dam's Name & Reg'd No

13

I

Prefix and Name (il any)

Se.M/F

Pedigree/Registered No.

Sir,,'s Name a R.g路d No

UK Ear"'9 No

Additional Details

Dam's Name & R.g路d No

14.

Prefix and Name (ii any)

SexM/F

Pedigree/Registered No.

Sire'S Name & Reg'd No

UK Eartag No

Additional Details

Dam's Name & Reg'd No 15.

Prefix and Name (ii any)

SIre's Name

UK Eattag No

Additional Details

& Reg'd No

P'Qflx and Name (il any)

Sire's Name

Pedigree/Register'ed No.

a AogOd No

Dam's Name 16.

SQxM/F

& AegOd No

SoxM/F

Pedigree/Rogistered

No.

UK Eartn9 No

Additional Details

Dam's Naolo & Reg'd No

DECLARATION: I hereby certify that the particulars given by me on this Entry Form are correct to the best of my knowledge and belief. I warrant all my entries to be sound in mouth. udder and testicles.

SIGNED

DATE

..


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