CLEVELAND LIVESTOCK SHOW

BREEDING GOAT ENTRY FORM

Chairman: Jennifer Lewis

281-593-9978

One Form Per Goat – Due by March Deadline

If animal is registered, a copy of registration papers must be attached.

                           

Mail Entry Form To: CLS&DD

                                    PO Box 697

                                    Cleveland, Texas 77328

 

 

EXHIBITOR INFORMATION:

 

Name:_____________________________________________________________________________

 

Mailing Address:_____________________________________________________________________

 

City:________________________________________State:______________Zip:_________________

 

Phone Number:________________________Email:________________________________________

 

Chapter/Club:_______________________________________________________________________

 

Ag. Science Instructor/County Extension Agent:____________________________________________

 

 

GOAT INFORMATION:

 

Description:________________________________________________________________________

 

Date of Birth:_______________________________________________________________________

 

Breed:_____________________________________________________________________________

 

Check One:  Non-Registered_______ Registered Percentage:_______Registered Full Blood:________

 

Registration Number:_________________________________________________________________

 

 

OWNER/BREEDER INFORMATION:

 

Name:_____________________________________________________________________________

 

Address:___________________________________________________________________________

 

City:________________________________________State:______________Zip:_________________

 

Phone Number:________________________Email:________________________________________

 

 

I certify that all of the above information is true and correct.

 

Signature of Owner/Breeder:___________________________________________________________