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| * Breeder No. |
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* Phone |
(
)
-
Ext
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| * First Name |
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* Last Name |
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| * Address |
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* City |
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| * State |
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* Zip |
Plus 4
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| * School Name |
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* Email |
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* Birthdate:
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/
/
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| * Parent / Guardian First Name |
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* Parent / Guardian Last Name |
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| * PARENT / GUARDIAN: I affirm all above information and agree to all above conditions. |
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| PRESS RELEASE |
| |
| Press Release Information (for use following show) |
| At how many previous Junior National Expos have you exhibited?
|
| Year in School Next Fall
|
| Hometown Newspapers: |
| Name
|
Web Address |
|
| Address |
|
City |
|
| State |
|
Zip |
Plus 4
|
| |
| |
| * Please indicate if this is your final JNHE to exhibit: Yes No |
| * Please indicate if this is your first JNHE to exhibit: Yes No |
| |
| * T-Shirt Size (first t-shirt free, additional t-shirts $12): |
| Youth XS
|
Youth S
|
Youth M
|
Youth L
|
| Youth XL
|
Youth XXL
|
Adult S
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Adult M
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| Adult L
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Adult XL
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Adult XXL
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Adult XXXL
|
| |
| All Inclusive Meal Tickets ($50 / ticket)
|
| This ticket will include banquet on Friday evening along with four additional meals: Monday Breakfast, Monday Lunch, Tuesday Breakfast and Tuesday Lunch. |
| |
| Breakfast, Monday, July 5 (Breakfast burrito, juice and milk) - Quantity of tickets ($8 / ticket)
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| Lunch, Monday, July 5 (CHB Hamburgers and Hotdogs, chips, cookies, tea and lemonade) - Quantity of tickets ($10 / ticket)
|
| Breakfast, Tuesday, July 6 (Breakfast sandwich, juice and milk) - Quantity of tickets ($8 / ticket)
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| Lunch, Tuesday, July 6 (Beef tacos, beans, cookies, tea and lemonade) - Quantity of tickets ($10 / ticket)
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| Awards Banquet, Friday, July 9 (CHB Ribeye Steaks, pototo, corn, beans, lettuce salad, dinner roll and desert) - Quantity of tickets ($25 / ticket)
|
| |
| Indianapolis Motor Speedway Tour and Hall of Fame Museum - Tuesday, July 6 with buses departing fairgrounds at 12:30 p.m. |
| Number of Adult Motor Speedway Tour Tickets ($30 / ticket)
|
| Number of Youth (5 and under) Motor Speedway Tour Tickets ($10 / ticket)
|
| Please list all attending. |
| |
| |
| For more information, visit indianapolismotorspeedway.com. |
| |
| Lucas Oil Stadium Tour - Home of the Indianapolis Colts - Tuesday, July 6 with buses departing fairgrounds at 1 p.m. |
| Number of Lucas Oil Stadium Tour Tickets ($20 / ticket)
|
| Please list all attending. |
| |
| |
| For more information, visit lucasoilstadium.com. |
| |
| Hereford Youth Foundation of America Golf Tournament - Tuesday, July 6 at 8 a.m. (4 man scramble with shotgun start) |
| I want to participate in golf tournament | $50 Individual $200 Group |
| Please list who will be golfing. |
| |
| |
| EID Tags (X 10) ($22.50)
|
| Tagging Applicators (X $15)
|
| |
| Showmanship ($5 entry fee): |
Class |
|
| |
| SUB TOTAL: $ |
| | |
| CATTLE ENTRY FORMS |
| 1st Entry Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit) |
Date of Birth
/
/
|
| Sire Name |
Sire Reg. No. (8 digit) |
| Dam Name
|
Dam Reg. No. (8 digit) |
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire |
Calf's Sire's Reg. No. (8 digit) |
| |
| 2nd Entry Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE
LE
|
| Animal Reg. No. (8 digit) |
Date of Birth
/
/
|
| Sire Name |
Sire Reg. No. (8 digit) |
| Dam Name
|
Dam Reg. No. (8 digit) |
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire
|
Calf's Sire's Reg. No. (8 digit) |
| |
| 3rd Entry Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit) |
Date of Birth
/
/
|
| Sire Name |
Sire Reg. No. (8 digit) |
| Dam Name |
Dam Reg. No. (8 digit) |
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire
|
Calf's Sire's Reg. No. (8 digit) |
| |
| 4th Entry Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit) |
Date of Birth
/
/
|
| Sire Name |
Sire Reg. No. (8 digit)
|
| Dam Name: |
Dam Reg. No (8 digit).:
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No (8 digit).:
|
| |
| 5th Entry: Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit):
|
Date of Birth
/
/
|
| Sire Name: |
Sire Reg. No. (8 digit):
|
| Dam Name: |
Dam Reg. No. (8 digit):
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No. (8 digit):
|
| |
| 6th Entry: Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit):
|
Date of Birth
/
/
|
| Sire Name: |
Sire Reg. No. (8 digit):
|
| Dam Name: |
Dam Reg. No. (8 digit):
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No. (8 digit):
|
| |
| 7th Entry: Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit):
|
Date of Birth
/
/
|
| Sire Name: |
Sire Reg. No. (8 digit):
|
| Dam Name: |
Dam Reg. No. (8 digit):
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No. (8 digit):
|
| |
| 8th Entry: Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit):
|
Date of Birth
/
/
|
| Sire Name: |
Sire Reg. No. (8 digit):
|
| Dam Name: |
Dam Reg. No. (8 digit):
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No. (8 digit):
|
| |
| 9th Entry: Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit):
|
Date of Birth
/
/
|
| Sire Name: |
Sire Reg. No. (8 digit):
|
| Dam Name: |
Dam Reg. No. (8 digit):
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No. (8 digit):
|
| |
| 10th Entry: Class
|
Entry Fee - $60 Bedding $Fee - $35 Heifers in both Bred-and-Owned and Owned will be charged 2 X Entry Fee and 1 Bedding Fee. |
| Name of Animal |
Animal Tattoo RE LE |
| Animal Reg. No. (8 digit):
|
Date of Birth
/
/
|
| Sire Name: |
Sire Reg. No. (8 digit):
|
| Dam Name: |
Dam Reg. No. (8 digit):
|
| Steer Cert. No. (8 digit)
|
Calf Reg. No. (8 digit) |
| Sex of Calf? Bull Heifer |
Calf Date of Birth
/
/
|
| Calf's Sire:
|
Calf's Sire's Reg. No. (8 digit):
|
| |
| |
| CATTLE SUB TOTAL: $ |
| |
| TOTAL: $ |
| |
|