JR. Livestock Entry Form

Eastern New Mexico State Fair 4-H & FFA Jr. Livestock Entry Information Form
Please complete the following information. ONE ENTRY FORM PER PERSON. After you complete this entry, please ADD TO CART the type of submission you're making now. You may complete all of your entry forms and pay for your projects all together at the end.
Exhibitor's First Name:
Exhibitor's Last Name:
Exhibitor's Address:
Exhibitor's City/State/Zip:
Exhibitor's Phone Number:
4-H or FFA Advisor Name:
County and/or FFA Chapter:
Exhibitor's Date of Birth (mm/dd/yyyy):
Email Address (where you can be reached):

Please Check All that Apply:	Market Steers Quantity to be entered: 4-H: FFA: Both 4-H & FFA: Market Lambs Quantity to be entered: 4-H: FFA: Both 4-H & FFA: Market Swine Quantity to be entered: 4-H: FFA: Both 4-H & FFA: Breeding Heifer Quantity to be entered: 4-H: FFA: Both 4-H & FFA: Meat Goat Quantity to be entered: 4-H: FFA: Both 4-H & FFA: Dairy Heifer Quantity to be entered: 4-H: FFA: Both 4-H & FFA: DAIRY HEIFERS ONLY - NOT REQUIRED FOR OTHER LIVESTOCK (Please list the date of birth for each Dairy Heifer - mm/dd/yyyy) 1. Date of Birth: 2. Date of Birth: 3. Date of Birth:
I hereby make applications for the above entry/entries and agree to abide by the rules and regulations as published in the Eastern New Mexico State Fair Catalog. I also understand that my application is not complete until this form is approved, completed and submitted via this web site. This box must be checked for your entry to be approved and complete.