SIMMENTAL BREEDERS SWEEPSTAKES ENTRY FORM: CIRCLE ONE OR ALL THAT APPLY.  SUBMIT COPY OF
ASA REGISTRATION & SEMEN CERTIFICATE.
   
OPEN SHOW:     COW/CALF PAIR            JUNIOR SHOW:    COW/CALF PAIR           BOTH SHOWS:   COW/CALF PAIR

Animal's Name: __________________________________________________________     Polled _________ Horned _________

Animal's Birthdate: _____________________  Registration: ______________________      Tattoo: _______________________

EPD's:   Accuracy    ________     ________     ________     ________     ________      ________     ________

Sire: _______________________________________________      Dam: _______________________________________________

ASA: ____________________________________________         ASA: _________________________________________________

Owner: ______________________________________________    Breeder: ____________________________________________

City & State: _______________________________________   City & State: ___________________________________________

Calf's Sex: ____________  Calf's Birthdate: ____________  Calf's Tattoo: ____________   Polled _______ Horned _______

Phone: ____________________________________        Jr Exhibitor: ______________________________________________

                                                                                                 
(only if different than owner) (Must be authorized representative of owner)

SIMMENTAL BREEDERS SWEEPSTAKES ENTRY FORM: CIRCLE ONE OR ALL THAT APPLY.  SUBMIT COPY OF
ASA REGISTRATION & SEMEN CERTIFICATE.
   
OPEN SHOW:     COW/CALF PAIR            JUNIOR SHOW:    COW/CALF PAIR           BOTH SHOWS:   COW/CALF PAIR

Animal's Name: __________________________________________________________     Polled _________ Horned _________

Animal's Birthdate: _____________________  Registration: ______________________      Tattoo: _______________________

EPD's:   Accuracy    ________     ________     ________     ________     ________      ________     ________

Sire: _______________________________________________      Dam: _______________________________________________

ASA: ____________________________________________         ASA: _________________________________________________

Owner: ______________________________________________    Breeder: ____________________________________________

City & State: _______________________________________   City & State: ___________________________________________

Calf's Sex: ____________  Calf's Birthdate: ____________  Calf's Tattoo: ____________   Polled _______ Horned _______

Phone: ____________________________________        Jr Exhibitor: ______________________________________________

                                                                                                 
(only if different than owner) (Must be authorized representative of owner)

SIMMENTAL BREEDERS SWEEPSTAKES ENTRY FORM: CIRCLE ONE OR ALL THAT APPLY.  SUBMIT COPY OF
ASA REGISTRATION & SEMEN CERTIFICATE.
   
OPEN SHOW:     COW/CALF PAIR            JUNIOR SHOW:    COW/CALF PAIR           BOTH SHOWS:   COW/CALF PAIR 

Animal's Name: __________________________________________________________     Polled _________ Horned _________

Animal's Birthdate: _____________________  Registration: ______________________      Tattoo: _______________________

EPD's:   Accuracy    ________     ________     ________     ________     ________      ________     ________

Sire: _______________________________________________      Dam: _______________________________________________

ASA: ____________________________________________         ASA: _________________________________________________

Owner: ______________________________________________    Breeder: ____________________________________________

City & State: _______________________________________   City & State: ___________________________________________

Calf's Sex: ____________  Calf's Birthdate: ____________  Calf's Tattoo: ____________   Polled _______ Horned _______

Phone: ____________________________________        Jr Exhibitor: ______________________________________________

                                                                                                 
(only if different than owner) (Must be authorized representative of owner)

RETURN