Exhibitor Name

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COUNTY EXTENSION OFFICE: Please keep a photocopy of this form for your records and return original to: AKSARBEN 4-H Stoc
AKSARBEN 4-H Stock Show Dairy Steer Nomination Form _________________________ Last Name

_________________________ First Name(s) and Age(s)

________________________ County

________________________ State Zip

I (we) hereby certify that the following described animals are owned and are being fed and cared by me (us) as part of my (our) AKSARBEN Livestock project in accordance with the regulations of the AKSARBEN Stock Show as printed in the premium list. I (we) understand that the animals which I (we) exhibit at AKSARBEN during the project year shall be among those listed and described in this form. Violation of exhibit rules can lead to exclusion from participation at AKSARBEN. Dairy Steers to be exhibited in this division must be identified and recorded on this form with the local County Extension Office on or before June 15. Breed

Date Born

4-H Tag Number L.Ear

R.Ear

Name & Registration Number of Project Animal (if Purebred)

Beginning Weight

Weigh Date

Name & Address of Breeder

Signature of Exhibitor(s)

Exhibitor Birth date

(Attach Additional Sheets If Needed) Signature of Parent

Signature of Extension Agent

Date

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______________________________

______________________________

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______________________________ Address (City/State/Zip)

______________________________

__________________

COUNTY EXTENSION OFFICE: Please keep a photocopy of this form for your records and return original to: AKSARBEN 4-H Stock Show, 6910 Pacific Street, Suite 102, Omaha, NE 68106 K:\4-H STOCK SHOW\2016 Show\WebPage Forms\Dairy Steer Nomination Form