REGISTRATION FORM Exhibitor Number (assigned by Registration Desk)
Polk County Fair & Rodeo Association
Complete this form as you enter your items then turn in the completed form to the Registration Desk to make your entries “official�.
156 Polk 43, Mena, Arkansas 71953
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School_____________________Club__________________________
Please Print Clearly:
Male/Female Exhibitors Name (First, Middle, Last)
Dept. #
Division #
Age
Class #
Entry Tag #
Telephone Number
City
Circle One
State
Zip Code
Description of Entry
Grade in School
After you are through entering your items, turn this form in at the Registration Desk where you received this form.