Colac Alpaca Show Colac Showgrounds Friday 31 October 2014
Colac Showgrounds Friday 31st October 2014 Colac Alpaca Show The Country Show Entries & Entry Fees To: Darren & Claire Balboni, Entry Stewards, 205 Robinson Rd, Barongarook Vic 3249 TAX INVOICE & ENTRY FORM Entries Close: Friday 10th October 2014 * Please print all details clearly Name of Owner: Address: Stud Name: Email (Include your email address if you require acknowledgment. ): Section Class Name of Exhibitor: Herd Code: Class Property Identify Code: Pen my animals near: Name Of Animal Including Prefix Date of Last Shearing in the format DD / MM / YY (eg: 04/11/13) Section Telephone: Postcode: IAR It is recommended that a copy of this page be made for your records. Name Of Animal Including Prefix IAR Colour Colour Birth Date* Date Last Shorn* Use one entry form per exhibitor. Add extra pages as required. Date of shearing* Age Of Animal Age Of Fleece when shorn (in months) when shorn (in months) DECLARATION 1. I am aware of the Showing Rules of the Australian Alpaca Association Ltd and understand that my entry in the Colac Alpaca Show has been accepted subject to those Rules. I agree to be bound by all the Rules and will abide by all decisions of officials to all matters in connection with or arising out the competition. 2. This show will NOT be MAP certified. While normal biosecurity pen separations will be observed, the pen set up will not be veterinarian inspected so exhibitors who are MAP or Q Alpaca certified enter animals at their own risk. 3. I certify that all details in the Entry Form are true and correct. 4. I certify that all the alpacas entered by me are, to the best of my knowledge, in good health and free of disease. 5. I certify that the alpacas identified on the entry form above are from a herd or a property that has had no known Johne’s Disease. Invoice Details First Alpaca Extra Alpacas Fleeces Cheques payable to: Colac & District P & A Society * Note: Sponsorships to be paid separate to entry fees 1 ___ ___ @ $25 / $20 @ $10 each @ $10 / $5 each Total Invoice (GST Exempt) $ $ $ $ * Sponsorship cheques payable to AAA Vic West Region Or ask for regional bank details NOTE: A separate animal health declaration is included with this schedule. It must be signed by the exhibitor or his/her agent and returned with this entry form. for penning protocol, as per the current Australian Johne’s Disease Market Assurance Program for Alpaca - Rules and Guidelines, please indicate status by the appropriate box: NON ASSESSED Number of pens required (1600 x 1350mm approx): …..... Q-Alpaca CHECK TESTED MN 1 / 2 / 3 CERTIFICATE NO Signature of registered owner or authorised agent: ............................................. Date: …...... ALPACA AND LLAMA HERD HEALTH STATUS DECLARATION FOR SHOWS AND SALES Provided by Federal Council of Agricultural Societies as part of showground biosecurity and the management of animal health THIS FORM IS NOT ACCEPTABLE AS AN ENTRY PERMIT FOR MOVEMENTS TO OTHER STATES AND / OR ZONES OWNER / EXHIBITOR DECLARATION Trading Name: .................................................................................................................................................................................... Address: ................................................................................................................................................................. Postcode: ................... Property Address: ............................................................................................................................................... Postcode: ................. (Property Name, Rural Road & Number) ................................................................................................................................................................................................................................ Telephone: ............................. Fax: ........................ Property Identification Code (PIC): ...................................................... Sale / Show: Colac Alpaca Show PIC: ............... Date: 31/10/2014 ANIMAL IDENTIFICATION: (attach list if necessary) Total number of alpaca / llama: .................. Name Date of Birth Male / Female Huacaya or Suri I.A.R No. Note: A show or sale may want to use only higher entry requirements below and may delete one or more clauses that do not meet this standard. I, Owner / Manager / Exhibitor (enter name): ..................................................................................................................... Of (enter address): .................................................................................................................................................................................. Declare that with regard to Johne’s disease, (cross or tick the box for the clause/s which apply eg. ) the herd does not have an infected or suspect status for Bovine or Ovine Johne’s Disease and: 1. The alpaca/llama identified above originate from a: Free Zone Protected Area Management Area Beef Protected Area for BJD in Cattle 2. The alpaca/llama identified above originate from assessed herds under the Alpaca MAP with status attained indicated. eg.MN12003: MN1 ......... (year) MN2 ….....(year) MN3 ........ (year) Herd Status Certificate No.: ............................ Expiry Date: ................. OR 2.1. The alpaca identified above originate from a herd that is currently under test for entry to the AlpacaMAP and I have no reason to suspect that Johne’s disease exists on the property OR 2.2. The alpaca identified above originated from a herd that is registered in the Australian Alpaca Association’s Q-Alpaca Program and satisfy the requirements for the MN1 equivalence Certificate No.: .......................................... Expiry Date: ..................... OR 2.3. The alpaca/llama identified above originate from a herd that has been Check Tested Negative (CT) in the past 12 months Date Tested: ..................... Approved Veterinarian: ................................................ OR 2.4. Where applicable the alpaca identified above which are 1 year of age or older have been tested by faecal culture by a registered veterinarian with negative results within 6 months before the date of the show / sale / exhibition OR 2.5. The alpaca/llama identified above originate from a herd that has not been assessed Exhibitors may also need additional certification to move between zones or between states. Check with your local veterinary authority. The above information, including the description of the animals and property(s) of origin is complete, true and correct. Signature: .............................................. Date: ...................... Alpaca and Llama Health Declaration – Version date – June 2013
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