Jefferson County Fair

 

 Sample Entry Form

 

Jefferson County Fair

Watertown, NY 13601

_____________________________

Exhibitor No. - OFFICIAL USE ONLY
Print Name Clearly:                     Any One                                     
Address:                                    Any Street                                    Phone:   315 555-1212     
City, State, Zip:                          Anytown, New York  13601             Farm Name___________________
Have you shown previously at the fair ?   Yes                                    Social Security #     123-456-7890   
I hereby authorize you to enter the following articles or animals in my name to compete for premiums according and subject to the Rules and Regulations of the Society as printed in the premium book.  Furthermore, I do hereby certify that the articles or animals entered below were made, raised and grown by me, and owned at least 30 days prior to entry for exhibition in strict accordance with all Rules and Regulations of the Premium List.
Dept Section Class Description Entry Fee Office Use

P

2

3

 Sculpture 2.00
P 3 1a Painting, Age 5 n/c
M 1 1 Tablecloth .50
L 5 2 Ag Photo - Animals n/c
K 1 1 Beans - green .20
K 1 21 Lettuce .20
J 2 7 Pansies .20
I 1 6 American Blue rabbit .50
H 1 9 White Plymouth Rock chicken .50
F 18 1 Jr Spring Quilt - Duroc 1.00
C 1 3 Sr Ram - Chevlot 1.00
B 2 2 Yrlg Bull - Jersey 2.00
A 1 2 Mare - 1 year 2.00
______ ______ ______ ______ ______
Total Number of Animals Exhibited:       6        
Number of Animals Entered in 4-H:        2       

Total Entry Fee: 10.10     

Return to:    Secretary

   3  Exhibitor's Weekly Ticket(s) @ $5.00  15.00     

                  Jefferson County Fair

 Total Amount Enclosed 25.10     

                  PO Box 8003

                  Watertown, NY  13601