No. of entries ___ x $5 each = _______
Poultry Entry Form
Please Print Clearly: Exhibitors Name (First, Middle, & Last) Street Address or P. O. Box Number
Polk County Fair & Livestock Show P O Box 1402, Mena, Arkansas 71953 Caroline Singleton – Superintendent 479-243-7248
Birthdate mm/dd/yyyy
City
Male or Female Circle one State
Telephone Number Zip Code
Entries should be submitted 1 of 3 ways: 1) At the Polk County Fairgrounds on Saturday, August 11th from 10am-1 pm. After 12 pm there will be a $5 latee 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 at link shown on Polk County Fair & Rodeo Association Facebook page
Name of 4-H Club or FFA Chapter Parent/Guardian Name (please print clearly)
Rules for Polk County Poultry Show: 1. Entries must be submitted by August 12. 2.All chickens must have had a negative Pullorum-Typhoid test prior to checking in. All chickens must enter through the back gate of the Fair Grounds between the hours of 5:00 pm and 7:00 pm on Tuesday of the Fair. 3. Exhibitors must be bonafide 4-H, FFA, or FHA members. 4. No miscellaneous game or mixed breeds will be accepted. 5. Exhibitors will be limited to one entry per breed per class. 6. Exhibitors should check in with the barn supervisor before chickens are placed in cages. All birds will be inspected for lice and mites. If your bird(s) are found to have lice or mites they will be disqualified and sent home. 7. Poultry will be judged on Wednesday at 4:00 pm with showmanship to follow. 8. Care, Feed, and Water will be provided by fair management. 9. Each exhibitor is responsible for removing and cleaning the ceramic crocks used with their animal during the Fair. A tub of water will be provided at the Barn for this purpose. Failure to comply may result in the loss of any prizes awarded at the Fair. 10. Entries can be single birds or a trio consisting of a rooster and two hens. 11. 4-H Pullet Chain pens must consist of three pullets. 12. Classifications – Pullet, female under one year; Cockerel – Male under one year; Hen – female over one year; Rooster – male over one year; Old Trio – birds over one year; Young Trio – birds under one year; 4-H pen is three pullets. Division and Class numbers are listed in the fair catalog. Be sure to classify your birds with the proper division for breed within the Standard Breed or Bantam Breed categories
Please see Fair Catalog for Division numbers! Class 1 Hen Class 2 Pullet Class 3 Cock Class 4 Cockerel Class 5 Old Trio Class 6 Young Trio
Division
Class
Color
Band
DIVISION 5001 4-H Pullet Chain DIVISION 5002 Poultry Project EXHIBITOR ENTRY STATEMENT I have read and understand, and in consideration for being permitted to exhibit at this event, agree and consent to abide by the rules of competition, including the IAFE (International Association of Fairs and Expositions) National Code of Show Ring Ethics as stated in the Fair Catalog. A separate copy may be obtained from show organizer upon request.
Exhibitor Signature
DATE
Guardian or Parent Signature
DATE