T-SHIRTS - $15.00 EACH - Cimarron Valley Livestock Series

GK
Exhibitor's Name:
Mailing Address:
County:
No. of Head
Email Address:
Date of Birth: Breed
Club/Chapter: Heifer
City:
State & Zip:
Steer
Market
Heifer
Phone:
Lamb
Goat
Pig
T-SHIRTS - $15.00 EACH
T-Shirt Size:
YOUTH
CIRCLE ONE
KCCA Member
No. of Head
Breed
Heifer
Breed
S
M
L
YES
NO
Steer
Date of Birth
ADULT
Market
Heifer
Animal Age
in Months
S
M
Cimarron Valley
Market
Lamb
Weight
L
XL
YES
NO
Market
Goat
Sex
XXL
Market
Pig
Official Use Only Class No.
I hereby make application to enter for prizes, above named, subject to rules and regulations of your organization. We, the Jr. Exhibitor and
Parent/Legal Guardian, certify that we have ready, understand, and will abide by the Gavin B Kleymann Livestock Show rules and regulations. We
certify that we understand that the Gavin B Kleymann Memorial Livestock Show reserves the right to condemn and/or disqualify any animal that is
deemed unruly, dangerous, or found with unapproved medication. The exhibitor will forfeit all prizes, be disqualified and exhibitor will be barred.
Exhibitor's Signature
Parent/Legal Guardian Signature
Date Signed
For Questions/Concerns Please Contact Kirby or Trina Kleymann at 866-841-2391
Form Received by
FOR OFFICIAL USE ONLY
Form of Payment
Date
Amount