Sheet1 - Tennessee Polled Hereford Association

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					 This Form is for the official use                                       EXHIBITOR'S ENTRY FORM/CONTRACT                                            Mail or e-mail to :
       of TPHA & TJPHA                                                  2011 TPHA State Show & TJPHA State Show                                 TPHA % Glenda Rickman
    For information go to: www.tpha-06.org or                            Williamson Co. Fairgrounds, Franklin, TN                               553 Enville Bottom Road
           www.williamsoncountyfair.org                                           August 5 & 6, 2011                                             Milledgeville, TN 38359
                Deadline for Entries - Must be postmarked by July 22 , 2011                                                                      glendar@centurytel.net
This Entry Form is for the purpose of setting up classes and printing the Show Program and must be completely filled out with all information requested.
You must fill out a separate Entry Form for the TPHA State Show and                                                                 TPHA State Show:
the TJPHA State Show.                                                                            Indicate Show:                     TJPHA State Show
Exhibitor Name:
Farm/Operation
Affiliate
Address: (line 1)                                                               The 2011 TPHA State Show is sponsored by the Tennessee Polled Hereford Assoc. &
Address: (line 1)                                                               Williamson County Fair Assoc. The 2011 TJPHA State Show is sponsored by the
                                                                                Tennessee Junior Polled Hereford Assoc & the Williamson Co. Fair Assoc. I hereby make
City,State, Zip:
                                                                                application to enter the animal(s) listed below for premium at the 2011 TPHA State Show &
Telephone #:
                                                                                2011 TJPHA State Show, subject to the rules and regulations as published, of which I
E-mail:                                                                         agree to the provisions contained therein. I hereby release and will not hold the sponsoring
Breeder Birth Date:
ExhibitorNumber:                                                                Associations/Organizations organizers or affiliated parties responsible for accident, loss or
(for TJPHA Show only)                                                           injury to any person, animal, equipment or articles.
Number of Entries
                                                                Please Print or Type All Entry Information
    Sex       Birth Date Name of Animal                        Tattoo       Registration Number   Name of Sire and Dam               Registration Numbers      Breeder of Animal
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam
                                                          RE                                      Sire
                                                          LE                                      Dam


             Exhibitor Signature                   Date                                                                  Parent or Guardian Signature       Date

				
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posted:10/12/2011
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