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4-H and FFA RABBIT & CAVY ENTRY
THE MONTGOMERY COUNTY AGRICULTURAL FAIR Office Use Only
16 CHESTNUT STREET, GAITHERSBURG, MD 20877 Received: _______________

Name: _______________________________________________ Exhibitor #: ______________________ Tally: ___________________

Address: ____________________________________________________________________________ Letter: __________________

City: _____________________________________ State: _____________ Zipcode: ________________ Comp.:__________________

4-H Age: _________ (as of January 1) DOB: ______________ Phone: _____________________________
Passes: __________________
E-mail: ______________________________________________________________________________
Absolutely NO entries
I have read, understand and agree to abide by all the rules and regulations published in the Montgom-
ery County Agricultural Fair Premium Catalog. I also agree that I will not hold the Montgomery County will be accepted after
Agricultural Fair liable for any accidents or injury, which may occur while participating in the Fair. July 20, 2018.
I have read the rules and expectations for participation in the MCAC Fair and promise to support and Use certified mail and
practice humane treatment of animals at all times.
print a receipt if using
I agree to present an MDA self-certification of animal health form to the department superintendent online entry.
prior to unloading animals.

Exhibitor’s Signature: _____________________________________________ Date: __________________

Parent/Guardian Signature: ________________________________________ Date:__________________
FOR DEPARTMENT 19 ONLY. ALL SANCTION RULES WILL BE ENFORCED.
Please check box if entering either of these: Rabbit Showmanship Rabbit Judging Contest

ALL ENTRIES ARE FOR DEPARTMENT 19 ONLY—one form per exhibitor

Division Class Breed Sex Color Ear Number Fur

4-H Family Discount Pass (includes parking): Rates/Prices Subject to Change—$10/day; $50/season
mcagfair.com
ENTRY DEADLINE IS JULY 20th TOTAL ENTRIES: ___________