Valencia Fair Management Company, Inc.
P.O. Box 344 Belen, NM 87002
JUNIOR LIVESTOCK ENTRY FORM
DUE July 1, 2019
Name;
Mailing Address;.
Phone Number;
Owner Name;.
Mailing Address;
Phone Number
4-H Club or Chapter
Exhibitor Age;
Must check one only
Signature of 4-H County Agent/Vocational Agricultural Instructor Reguired
Signature REQUIRED:
I certify that all livestock meet VFMCI ownership requirements
Each Exhibitor is Limited to 10 Market Animals
Junior Livestock Fees All Fees must Accompany Entries
Number of Animals
Total
Breeding Beef Cattle
Dairy Cattle
Dairy Goats
Pygmy Goat
Meat Goat
Market Steer
Market Swine
Market Lamb
$20.00/Head
$20.00/Head
$15.00/Head
$15.00/Head
$15.00/Head
$20.00/Head
$15.00/Head
$15.00/Head
$20.00 X Number of Beef Cattle
$20.00 X Number of Dairy Cattle
$15.00 X Number of Dairy Goats
$15.00 X Number of Pygmy Goats
$15.00 X Number of Meat Goats
$20.00 X Number of Market Steer
$15.00 X Number of Market Swine
$15.00 X Number of Market Lamb
Enter Total
Buyers Appreciation Fee
$10.00
Late Fee $20 per Exhibitor required for entries postmarked after July 1 2019
Gate Entry Pass ($2.00/ea individual family member of exhibitor)
Add 1-11 and enter here
Total Amount Paid
1.
2
3
4
5
6
7
8
9
10
11
Exhibitor must sign entry form, see reverse side of form for signature block
Late Entries = $20.00 Per Exhibitor.
Late Entries Postmarked After July 1, 2019
AGREEMENT ON BACK MUST BE SIGNED FOR YOUR ENTRY TO BE PROCESSED
AGREEMENT OF RESPONSIBILITY AND LIABILITY
To print and mail right click and print
Not applicable to dairy Goats & Pygmy Goats
