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Kansas All Breeds Junior Dairy Show

Exhibitor's Entry Form

Please submit separate entry form for each animal.

Please complete all fields of the following form for valid entry.

Each animal must have official health certificate. Pre-entry in fitting and showing not required.

Name
Address Line 1
Address Line 2
City
State
Zip
Area Code/ Phone
County
Email
Registered Animal
Class (Title & Number)
Breed
Date of Birth
Reg. No.
Dam
Reg. No.
Sire
Reg. No.
Owner's Age
Owner's Date of Birth (Month/Day/Year)

By clicking the submit button, I agree to abide by the rules of the Kansas Junior Dairy Show and will not hold them responsible for loss or injury to any animal or articles and I hereby certify that I have lived up to the rules of the Kansas State 4-H Club Department or the Vocational Agricultural Department of my High School. READ THE RULES.

Submission of this form permits 4-H Club Member or Vo. Ag. Student signature and County Agent or Vo. Ag. Instructor signature to all of the above statements.