One animal = 1 entry Beef Cattle entries ___x $10 Goat, Sheep & Swine entries ___ x $10
2018 Livestock Entry Form Polk County Fair & Livestock Show P O Box 1402 Mena AR 71953
1) 2)
Entries should be submitted 1 of 3 ways: 1)At the Polk County Fairgrounds on Saturday, August 11th from 10 am-1 pm. After 1 pm there will be a $5 late fee charge 2)Mailed to Polk County Fair Association, P O Box 1402, Mena AR 71953 $5 late fee if postmarked after 8-12-18 3)Online entries thru link on Polk County Fair & Rodeo Association Facebook page
Please Print Clearly. Fill out Form Completely
Exhibitors Name (First, Middle, & Last)
E-Mail Address (please print clearly) Age
Street Address or P. O. Box Number
Male or Female Gender (circle one)
City
Telephone Number
State
Zip Code
Name of 4-H Club or FFA Chapter
Parent/Guardian Name (print)
Please accept the entries indicated below, subject to the rules and classifications governing the exhibit as published in your Fair Catalog of the current year, by which I hereby agree to be governed in exhibiting the same and declare that all statements made in connection with said entries are true. I hereby release the Polk County Fair & Rodeo Association from any liability from loss, damage or injury to livestock or other property, while said property is on the Fairgrounds. I agree to abide by a ll rules and regulations of the Polk County Fair and Livestock Show. I certify that my animal is free of any drugs not approved by FDA or USDA and has not been altered in an unethical manner. I agree to forfeit all premiums and suffer any consequences that may result due to my misconduct. [PLEASE FILL OUT FORM COMPLETELY] County Bred animals MUST be entered in the County Bred Division to be eligible for premium and designation in the County Bred Shows for each species. Animals must be identified with a tag or tattoo unique to the animal. Refer to the Fair Catalog for the Department, Division, & Class numbers. The current Fair Catalog has the rules. Agriculture Teachers & 4-H Leaders will also have this info. Description of Animal Division Class Registration No. in Goat/Sheep Tag Number Name of Animal or ID No. No. Stud or Herd Book Scrapies ID# or Tattoo Date of Birth Color Sex
POSITIVELY NO ENTRIES ACCEPTED UNLESS ACCOMPANIED BY PROPER REMITTANCE Signatures:
Exhibitor
Date
Guardian or Parent of Exhibitor
Date