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Office Use Only Received: _______________ Tally: ___________________ Letter: __________________ Comp.:__________________ Passes: __________________ Absolutely NO entries will be accepted after July 20, 2018. Use certified mail and print a receipt if using online entry. Coggins # Fee Total: ________________

ALL ENTRIES ARE FOR DEPARTMENT G ONLY—one form per exhibitor
Show starts at 9am on Sunday, Aug. 12 RAIN OR SHINE. Coggins Test: (within 12 months of show date required for all animals 6 months and over). Please attach a copy of Coggins papers. Non-refundable entry fee: $10/head. NOTE: If entering multi- ple hitch classes, indicate number of animals in the hitch and type of hitch, unicorn, abrest, etc. If entering farm implement class, indicate type of equipment. Color

for any damage of any kind to this exhibit or exhibitors. I agree to present and MDA self -certification of animal health form to the department

DOB
I have enclosed a check for $_________ to cover the cost of the fees. NOTE: Please make checks payable to the Montgomery
tural Fair Premium Catalog. I also agree that I will not hold the Montgomery County Agricultural Fair liable for any accidents
County Agricultural Fair and send all entries to the address above. All exhibitors are to use the Chestnut or Dalamar Street
I have read, understand and agree to abide by all the rules and regulations published in the Montgomery County Agricul-
Exhibitor further releases the Fair and the Maryland Draft Horse and Mule Association from all responsibility and liability
I have read the rules and expectations for participation in the MCAC Fair and promise to support and practice humane
Registry #
City: _____________________________________ State: _____________ Zipcode: __________________
Address: ______________________________________________________________________________
E-mail: ________________________________________________________________________________
Farm Name: _______________________________________ Phone: ______________________________
Exhibitor’s Signature: _____________________________________________ Date: __________________
Name: _______________________________________________ Exhibitor #: _______________________
Parent/Guardian Signature: ________________________________________ Date:__________________
Sex 4-H Family Discount Pass (includes parking): Rates/Prices Subject to Change—$10/day; $50/season

Name of Animal

DRAFT HORSE and MULE ENTRY THE MONTGOMERY COUNTY AGRICULTURAL FAIR 16 CHESTNUT STREET, GAITHERSBURG, MD 20877 or injury, which may occur while participating in the Fair. gates when entering the grounds. treatment of animals at all times. superintendent prior to unloading animals. Class # Breed Div. mcagfair.com ENTRY DEADLINE IS JULY 20th