animal entry form - Alpacas VicWest - Australian Alpaca Association

ANIMAL ENTRY FORMENTRIES CLOSE 5PM FRIDAY 27 APRIL 2012Entry and entry fees to:Cath Lukin, Entry Steward465 Wallington RoadWallington VIC 3221Enquiries to:Bob Clark, Show ConvenorPh: 03 5261 3714Email: kurrawa@ozemail.com.auEntry Fees:Animal: $20.00 for first alpaca, $12.00 per additional animal.Pen Fee: $20.00 per single pen, $25.00 per double pen.Progeny Classes: $10:00 (Entries accepted on the day of show).Fan Fee: $20 for the first two fans. $5 per additional fan.Late entries will not be accepted.Entry fees must accompany the entryform and payment summary form, plusherd health status declaration.Please print all details clearly. Include with your entry a business size stamped, self-addressed envelope, or include your email address if you require acknowledgement.ANIMAL ENTRY CLASSESSectNoClassNo:Name of animal (including prefix) IAR DOB Sex ColourDate LastShornSire’s Name & Dam’s Name (including prefixes)SDSDSDSDSD Age of fleece means the time in months between this shearing and the previous shearing (if any)Declaration:1. I have read the General Regulations and Conditions contained in the Show Schedule and understand that myentry in the show has been accepted subject to those regulations and conditions. I agree to be bound by all therules outlined in the current Australian Alpaca Association Showing Rules manual and abide by all matters inconnection with or arising out of the competition.2. I certify that the details given on this entry form are correct.3. I agree that no exhibit shall be exhibited from a herd or Stud/property for which either;(a) Proof of accreditation under Alpaca JD MAP program is provided or origin from a state recognised as a JDprotected area, or(b) For non-assessed alpacas not originating from a State recognised as a Johne’s Disease protected area, asigned declaration verifying that the exhibits have not at any period of their lifetime been in a herd or on aproperty, when at any time Johne’s Disease was known or suspected to exist.PENNING DETAILS: Please appropriate box. Non Assessed Q-Alpaca Certificate No __________MN1 MN2 MN3 Expiry Date ____________Name of Exhibitor/Owner: ________________________________________________________(List multiple owners if applicable)Stud Name: __________________________________________________Herd Code: _______Postal Address: _______________________________________________P/ Code: _________Name & Address of Agent, if acting for owner: _____________________________________________________________________________________________________________________Contact Phone: ___________________________ Mobile: ______________________________Signature of Owner: _________________________________________ Date:_______________Email: _______________________________________________________________________.NUMBER OF PENS: ________ PEN MY ANIMALS WITH: ________________________________________Have you been breeding alpacas for 5 years or less?YES NO

Supplementary Entry Form Sheet(Page _____ )STUD HERD CODE EXHIBITOR’S NAMEANIMAL ENTRY CLASSESSectNoClassNo:Name of animal (including prefix) IAR DOB Sex ColourShearingDateSSire’s Name & Dam’s Name (including prefixes)DSDSDSDSDSDSDSDSDSDSD