Dairy Form

If you have any questions regarding your dairy entry please contact:

Dairy Director
Heather Hurtubise
705-622-3783
h.hurtubise118@gmail.com

Contact Information

Exhibitor Name

First Name

Last Name

Exhibitor Number

On Membership Card

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Dairy Entry Information

All information below will be used for your entry. Please ensure all information is filled out correctly.

Class

Animal Name

Registration Number

Animal Date of Birth

YYYY

Sire Name

4-H

Entry Fee

Total Entry Fees

Please include the following in total fees if applicable: $3 - Each Straw Bale $5 - Membership Fee $25 - Extra Weekend Pass $20 - Vehicle Pass

Total Fees

All animals must have plastic panel NLID tag.