2022 Junior Show Entry Worksheet - Rodeohouston

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2022 Junior Show Entry WorksheetWorksheet is NOT Official Entry Form-Official Entry MUST be made online by AST/CEAEXHIBITOR LEGAL NAME:LAST:FIRST:PARENT CELL PHONE:GENDER:( ) -EXHIBITOR MAILING ADDRESS:EMAIL:CITY:COUNTY 4-H/FFA CHAPTER:STATE: TEXAS ZIP:COUNTY:EXHIBITOR SS #: - - EXHIBITOR’S DOB: / /QUALITY COUNTS #:Check boxNumberPaymentDivisionFeeComplete Animal Information if entering Junior Beef Heifersfor entryEnteredTotalJUNIOR MARKET SHOWS (1 Entry Max. Per Department)*ANIMAL INFORMATION (Must be completed for all Beef Heifers)AngusBeefmasterBrangusCharolaisCOMMERCIAL STEER 75/penGrey BrahmanHerefordChianinaLimousinMARKET BARROW 37Maine-AnjouPolled HerefordRed AngusRed BrahmanMARKET BROILER 30Red BrangusSanta GertrudisShorthornSimbrahMARKET GOAT 37SimmentalARBORBMARKET LAMB 37MARKET STEER 35MARKET TURKEY 30Name of Animal:JUNIOR BEEF HEIFER (1 Entry Max.)Birthdate:Reg. #:Record animal information to the right. Heifer must be validated through Texas Validation System.*BEEF HEIFER 35JUNIOR BREEDING GILTS (3 Entry Max.)Animal ID (tattoo/brand):Class #:BERKSHIRE 30/hdCHESTER WHITE 30/hdSire Name:Reg. #:DUROC 30/hdHAMPSHIRE 30/hdDam Name:Reg #:LANDRACE 30/hdSCRAMBLEPOLAND CHINA 30/hd(Open only to Exhibitors returning with a Calf Scramble Animal)SPOTTED 30/hdSCRAMBLE STEER (FREE) – If entering the Market Steer Show,YORKSHIRE 30/hdonly scramble steer may be shown.SCRAMBLE HEIFER (FREE) – If entering the Breeding Beef HeiferJUNIOR DAIRY HEIFERSRecord all animal entry information on the attached form.Show, only scramble heifer may be shown.***DAIRY HEIFER 30/hdJUNIOR BREEDING SHEEP (Max. 1 Group Entry per Class per Breed)Record breed and validation number for each entry on the attached form.**JR. BREEDING SHEEPPAIR OF RAMS (1 Max.)PAIR OF EWES (1 Max.)BEST PAIR OF SHEEP (1 Max)EXHIBITOR’S FLOCK (1 Max)INDIVIDUAL CONTESTSJRJRJRJRJRJRJR 30/hd 10/class 10/class 10/class 10/classSR 20SR AG PUBLIC SPEAKING 20SR AG SCIENCE FAIRRANCHING & WILDLIFE CONTESTSSR 125SR YG CLAY SHOOT 75SR YG SKEET SHOOT 60SR ARCHERY 0POSTER BOARD CONTEST 0VIDEO CONTESTOTHER FEES (Tie Outs Limited)STEER TIE OUT (1 Max) 10BEEF HEIFER TIE OUT (1 Max) 10 35EXHIBITOR SEASON PASSTOTAL JUNIOR SHOW FEES NOT OFFICIAL ENTRY FORMThis worksheet is to assist AST/CEA gather entry information fromExhibitors. AST/CEA will mail in completed JUNIOR SHOW ENTRYWORKSHEET, INDEMNITY FORMS, W-9’S for each exhibitor ONLINEENTRY SUMMARY with PAYMENT. All entry worksheets/required formsmust be postmarked by December 5th and mailed to the address belowPlease remember to mail in all additional required entry forms for individualcontests requiring more information.Houston Livestock Show and RodeoAttn: Livestock EntriesNRG Park3 NRG CenterHouston, TX 77054ONLINE ENTRY DEADLINE: DECEMBER 1Note: Each exhibitor receives one complimentary ExhibitorSeason Grounds Pass with their entries.

2022 Junior Show Entry WORKSHEET (Continued)EXHIBITOR LEGAL NAME:FIRST:COUNTY 4-H/FFA CHAPTER:MI:LAST:COUNTY:**JUNIOR BREEDING SHEEP ANIMAL INFORMATIONMust completed for ALL junior breeding sheep entries (if g Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit ding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)DORPERItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)WHITE DORPERItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)DORSETItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)ORB (OTHER REGISTERED BREEDS)ItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit g Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)ROYAL WHITEItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)SHROPSHIREItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)SOUTHDOWNItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)SUFFOLKItemQuantityItemQuantityBreeding Sheep Individual Animal EntryBreeding Sheep Ewe Group (limit 1/Breed)Breeding Sheep Pair Group (limit 1/Breed)Breeding Sheep Flock Group (limit 1/Breed)ItemQuantityBreeding Sheep Ram Group (limit 1/Breed)HAMPSHIREItemQuantityItemBreeding Sheep Individual Animal EntryBreeding Sheep Ewe GroupBreeding Sheep Pair GroupBreeding Sheep Flock GroupQuantityItemQuantityBreeding Sheep Ram GroupTOTAL ENTRIES FROM ALL BREEDS LISTED ABOVE (PLEASE TRANSFER TOTAL TO PAGE 1)ItemQuantityItemBreeding Sheep Individual Animal EntryBreeding Sheep Ewe GroupBreeding Sheep Pair GroupBreeding Sheep Flock GroupQuantityItemBreeding Sheep Ram GroupQuantity

2022 Junior Show Entry WORKSHEET (Continued)FOR ADDITIONAL ENTRY SPACES, PLEASE USE MUTLIPLE COPIES OF ANIMAL INFO SHEETSEXHIBITOR LEGAL NAME:FIRST:LAST:COUNTY 4-H/FFA CHAPTER:Brown SwissCOUNTY:***JUNIOR DAIRY HEIFER ANIMAL INFORMATION(Must be completed for exhibitor’s dairy heifer if applicable)HolsteinName of Animal:Animal ID (tattoo/brand):Birthdate:Reg. #:Class #:Sire Name:Reg. #:Dam Name:Reg. #:***JUNIOR DAIRY HEIFER ANIMAL INFORMATION(Must be completed for exhibitor’s dairy heifer if applicable)HolsteinBrown SwissName of Animal:JerseyAnimal ID (tattoo/brand):Birthdate:Reg. #:Class #:Sire Name:Reg. #:Dam Name:Reg. #:***JUNIOR DAIRY HEIFER ANIMAL INFORMATION(Must be completed for exhibitor’s dairy heifer if applicable)HolsteinBrown SwissName of Animal:JerseyAnimal ID (tattoo/brand):Birthdate:Reg. #:Class #:Sire Name:Reg. #:Dam Name:Reg. #:***JUNIOR DAIRY HEIFER ANIMAL INFORMATION(Must be completed for exhibitor’s dairy heifer if applicable)HolsteinBrown SwissName of Animal:Birthdate:JerseyAnimal ID (tattoo/brand):Reg. #:Class #:Sire Name:Reg. #:Dam Name:Reg. #:Jersey

2022 Junior Show Entry WORKSHEET (Continued)EXHIBITOR LEGAL NAME:FIRST:LAST:COUNTY 4-H/FFA CHAPTER:COUNTY:RANCHING & WILDLIFE ARCHERY CONTEST EXHIBITOR INFORMATIONSUPERVISING AST/CEA’S NAMES:CEA/AST’S PHONE: ( ) - CEA/AST’S EMAIL:CERTIFIED COACH NAME(S):CERTIFIED/BONAFIDE COACH PHONE: ( ) -CERTIFIED/BONAFIDE COACH EMAIL:CERTIFIED/BONAFIDE COACH SIGNATURE:ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGEADULT XXL LARGEEXHIBITOR SHIRT SIZE:JUNIOR DIVISION – MUST BE 8 YEARS OF AGE (IN ADDITION TO BEING IN THE 3RD GRADE) AND NOTOVER 13 YEARS OF AGE AS OF AUGUST 31, 2021SENIOR DIVISION – MUST BE 14 TO 18 YEARS OF AGE AS OF AUGUST 31, 2021ENTRIES ARE LIMITED TO THE FIRST 240 ENTRIESSUBMITTED ONLINE BY CORRESPONDING CEA OR AST.CLASSDIVISIONJUNIOR FEMALEJUNIOR MALESENIOR FEMALESENIOR MALECOMPOUNDRECURVENASPBAREBOW

2022 Junior Show Entry WORKSHEET (Continued)EXHIBITOR LEGAL NAME:FIRST:LAST:COUNTY 4-H/FFA CHAPTER:COUNTY:RANCHING & WILDLIFE YOUNG GUNS SHOOTING SPORTS EXHIBITOR INFORMATIONSUPERVISING AST/CEA’S NAMES:CEA/AST’S PHONE: ( ) - CEA/AST’S EMAIL:ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGEADULT XXL LARGEEXHIBITOR SHIRT SIZE:JUNIOR DIVISION – MUST BE 8 YEARS OF AGE (IN ADDITION TO BEING IN THE 3RD GRADE) AND NOTOVER 13 YEARS OF AGE AS OF AUGUST 31, 2021SENIOR DIVISION – MUST BE 14 TO 18 YEARS OF AGE AS OF AUGUST 31, 2021ENTRIES ARE LIMITED TO THE FIRST 500 ENTRIES FOR SPORTING CLAY & 400 ENTRIES FOR SKEET.ENTRIES MUST BE SUBMITTED ONLINE BY CORRESPONDING CEA/AST. NO SINGLE DIVISION WILLEXCEED 250 ENTRIES. NO WAITLIST WILL BE OFFERED.SPORTING CLAY SHOOT(no single division will exceed 250 entries)SKEET SHOOTDIVISIONDIVISIONSENIOR MALESENIOR MALESENIOR FEMALESENIOR FEMALEJUNIOR MALEJUNIOR MALEJUNIOR FEMALEJUNIOR FEMALE

2022 RELEASE OF LIABILITY AND INDEMNITY AGREEMENT / DRUG CERTIFICATION FORMALL EXHIBITORS MUST SIGN BEFORE JUNIOR ENTRY BECOMES VALIDPart IAs valid consideration for entry into and participation in activities (the “Activities”) associated with Houston Livestock Show and Rodeo, Inc., Houston Livestock Show and RodeoEducational Fund, and Corral Club, Inc., (collectively, “HLSR”), the undersigned hereby enter into this RELEASE OF LIABILITY AND INDEMNITY AGREEMENT/ DRUGCERTIFICATION FORM (this “Agreement”).1. INVITATIONAL SHOW: The Houston Livestock Show is an invitational show, and the Houston Livestock Show and Rodeo reserves the right to extend or withhold an invitationto any Exhibitor or Contestant.2. ACKNOWLEDGMENT OF RISKS: The undersigned recognize and understand there are risks associated with entry into and participation in the Activities including, but not limitedto, bodily injury or death, and damage to property or privacy rights. The undersigned further acknowledge that they will be liable for all damage to persons, livestock, or property thatis caused by them or any persons (including, but not limited to, minors) under their care and control, and that arise out of, or are related to, the undersigned’s entry into andparticipation in the Activities. UNDER CHAPTER 87, TEXAS CIVIL PRACTICE AND REMEDIES CODE, A FARM ANIMAL PROFESSIONAL IS NOT LIABLE FOR AN INJURYTO OR THE DEATH OF A PARTICIPANT IN FARM ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISKS OF FARM ANIMAL ACTIVITIES. A LIVESTOCK SHOWSPONSOR IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN A LIVESTOCK SHOW RESULTING FROM THE INHERENT RISKS OF LIVESTOCKSHOW ACTIVITIES.3. RELEASE FROM LIABILITY: The undersigned hereby RELEASE, ACQUIT AND FOREVER DISCHARGE HLSR, its subsidiaries and affiliates and its and their present andformer directors, officers, employees, agents, volunteers, and representatives and the respective heirs, administrators, executors, successors and assigns (collectively, the "HLSRParties" or individually, an "HLSR Party") from any and all claims, causes of action, suits, demands, settlements, judgments and/or expenses (including, but not limited to, reasonableattorneys’ fees) for personal injury, death and/or property damage, accrued or to accrue in the future, known or unknown, (collectively, "Claims") relating to or arising out of anynegligent acts in connection with his/her entry into and participation in the Activities, including but not limited to the NEGLIGENT ACTIONS OF THE HLSR PARTIES, REGARDLESSOF WHETHER SUCH NEGLIGENCE WAS THE SOLE, PROXIMATE OR PRODUCING CAUSE OF THE CLAIMS. Without limiting the foregoing, the undersigned agree that theHLSR Parties shall not be liable to him/her, his/her family, heirs, administrators, executors or assigns for Claims arising from or related to the undersigned's entry into and participationin the Activities.4. AGREEMENT TO INDEMNIFY AND HOLD HARMLESS: THE UNDERSIGNED AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE HLSR PARTIES from anyand all Claims, including, but not limited to, Claims resulting from THE HLSR PARTIES' OWN NEGLIGENCE, REGARDLESS OF WHETHER SUCH NEGLIGENCE WASTHE SOLE, PROXIMATE OR PRODUCING CAUSE OF THE CLAIMS; provided, however, that the duty of the undersigned to defend, indemnify and hold harmless theHLSR Parties shall extend only to Claims arising directly or indirectly from the undersigned's entry into and participation in the Activities. As used herein, “INDEMNIFY”means to agree to assume the HLSR Parties’ liability as to any and all claims, causes of action, suits, demands, settlements, judgments, and/or expenses (including,but not limited to, reasonable attorneys’ fees) made by, through, or under the undersigned against the HLSR Parties related to the undersigned’s entry into andparticipation in the Activities.5. PHOTOGRAPH/INTERVIEW RELEASE AND INDEMNITY: The undersigned GRANT PERMISSION to be PHOTOGRAPHED, VIDEOED, RECORDED and/or INTERVIEWEDin connection with the Activities. The undersigned understand that any such photographs, videos, recordings and/or interviews may be used by HLSR for television, film, video,visual, printed and/or social media. The undersigned agree to RELEASE and INDEMNIFY HLSR for any Claims related to photographs, videos, recordings and/or interviews by theHLSR Parties and/or any media.6. TEXAS LAW AND ARBITRATION: The undersigned understand that this Agreement shall be binding on their heirs, executors, successors and assigns, that the Agreement willbe governed by the laws of Texas, and that jurisdiction and proper venue for any dispute regarding this Agreement shall be in a State Court in Harris County, Texas. If any part ofthis Agreement is determined to be invalid or unenforceable, it does not affect the validity of the remainder of this Agreement. This Agreement controls notwithstanding any conflictingterms or conditions of any other agreement between the parties. The undersigned agree to these terms and conditions and acknowledge receipt of this Agreement. HLSR mayrequire that all claims or disputes between Exhibitor and/or his/her parent or guardian and HLSR and/or its agents, officers, directors volunteers, members and assigns, in any wayarising out of or related to this Agreement, shall be decided by binding arbitration administered by the American Arbitration Association (“AAA”) pursuant to the Federal ArbitrationAct, 9 U.S.C., 1, et seq. and in accordance with the Commercial Arbitration Rules of the AAA that are in effect at the time the demand for arbitration is filed, unless the partiesmutually agree otherwise in writing. The decision of the arbitrator(s), which shall state findings of fact and conclusions of law, shall be final, conclusive and binding on the parties andjudgment may be entered thereon in the District Court of Harris County, Texas, to enforce the decision.Part IIThe undersigned certify that they have read, understand and will abide by all rules and regulations of the Houston Livestock Show and Rodeo, including, but not limited to, theExhibitor Handbook. The undersigned further certify that they have not administered to and have no knowledge that this entry has received any substance not approved by the Foodand Drug Administration (FDA) and/or the U.S. Department of Agriculture (USDA) for food animals. Furthermore, they certify that all entries will be FREE OF ALL DRUG ANDCHEMICAL RESIDUES upon arrival to NRG Park and will remain free of all drug and chemical residues while on show grounds. The undersigned understand that the time it takesfor drugs and chemicals to be entirely excreted from the body through the urine of animals is generally longer than the labeled FDA and USDA withdrawal times for most approveddrugs and chemicals.If an animal requires emergency treatment while on Show grounds, only a licensed veterinarian will be allowed to administer any drug, chemical or feed additive. An Exhibitor maychoose a licensed veterinarian other than the Official Show Veterinarian, but the Official Show Veterinarian MUST be notified in advance and he/she MUST be present. All treatmentcosts are the responsibility of the Exhibitor. If an animal is treated by a licensed veterinarian while at the Show and the medication administered contains a labeled withdrawal timeor unpublished elimination time, the animal will be disqualified. Sifted and non-placing barrows, lambs and goats will be sold as condemned if the animal is under any withdrawalrequirement. The Official Show Veterinarian, in agreement with Show Management, reserves the right to treat any animal if, in the opinion of the Official Show Veterinarian, it is inthe best interest of the animal’s health and well-being to be treated. If the Official Show Veterinarian administers treatment to an animal and therefore uses any medication that doesnot meet the appropriate withdrawal or elimination time, the animal will be determined ineligible for competition.The Houston Livestock Show and Rodeo reserves the right to condemn and/or disqualify any animal, either live or slaughtered, found in violation of the use of drugs, chemicals orfeed additives as described above and the exhibitor will forfeit all auction sale and/or premium money if the animal is disqualified. If an animal(s) is disqualified for testing positiveand/or the carcass condemned at slaughter, the class placing will not change. An exhibitor of an animal testing positive for any drug or medication or unapproved chemical mayforfeit all rights and privileges to exhibit livestock in the future at the Show. Furthermore, any infraction resulting in disqualification may affect Exhibitor’s scholarship eligibility.The undersigned fully understand and grant permission to HLSR to report any and all rule infractions to the North American Livestock Show and Rodeo Managers Association(NALSRMA) Rule Infraction Database (RID). Furthermore, we understand that this information will be available to the membership of the NALSRMA.The undersigned represent that they thoroughly understand that this is a complete and final release and indemnity agreement, that they are voluntarily entering into this Agreement,and that no representations, promises or statements made by any HLSR Party, or any agent, attorney or other representative of any HLSR Party has influenced the undersigned incausing them to sign this Agreement.Signature – Exhibitor:Date: Exhibitor Name Printed:If the person on whose behalf this Agreement is being executed is a minor, a parent or legal guardian must also execute this Guardian Name Printed:RELATIONSHIP TO MINOR:Sworn and subscribed before me this day of 20 . NOTARY PUBLIC:NOTARY SEALI certify that the certification above is correct and I have informed the exhibitor and parent/guardian of the consequences of stated rule violations as to the uses of drugs, chemicalsor feed additives.SIGNATURE-CEA/AST:Houston Livestock Show and Rodeo : February 28 – March 20, 2022NAME OF CLUB OR CHAPTER:Form 2022 - Junior Show Release

W-9Request for TaxpayerIdentification Number and CertificationForm(Rev. January 2011)Department of the TreasuryInternal Revenue ServiceGive Form to therequester. Do notsend to the IRS.Print or typeSee Specific Instructions on page 2.Name (as shown on your income tax return)Business name/disregarded entity name, if different from aboveCheck appropriate box for federal taxclassification (required):Individual/sole proprietorC CorporationS CorporationPartnershipTrust/estateExempt payeeLimited liability company. Enter the tax classification (C C corporation, S S corporation, P partnership) Other (see instructions) Address (number, street, and apt. or suite no.)Requester’s name and address (optional)City, state, and ZIP codeList account number(s) here (optional)Part ITaxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” lineto avoid backup withholding. For individuals, this is your social security number (SSN). However, for aresident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For otherentities, it is your employer identification number (EIN). If you do not have a number, see How to get aTIN on page 3.Social security numberNote. If the account is in more than one name, see the chart on page 4 for guidelines on whosenumber to enter.Employer identification numberPart II–––CertificationUnder penalties of perjury, I certify that:1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal RevenueService (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I amno longer subject to backup withholding, and3. I am a U.S. citizen or other U.S. person (defined below).Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholdingbecause you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgageinterest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), andgenerally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See theinstructions on page 4.SignHereSignature ofU.S. person Date Note. If a requester gives you a form other than Form W-9 to requestGeneral Instructionsyour TIN, you must use the requester’s form if it is substantially hisform may befound at the official Internal Revenue websiteSectionreferencesare to the InternalCode unlessotherwiseto this Form ex.htmlDefinition of a U.S. person. For federal tax purposes, you areconsidered a U.S. person if you are:Purpose of FormREQUIREDA person who is required to file an information return with the IRS mustobtain your correct taxpayer identification number (TIN) to report, forexample, income paid to you, real estate transactions, mortgage interestyou paid, acquisition or abandonment of secured property, cancellationof debt, or contributions you made to an IRA.Use Form W-9 only if you are a U.S. person (including a residentalien), to provide your correct TIN to the person requesting it (therequester) and, when applicable, to:1. Certify that the TIN you are giving is correct (or you are waiting for anumber to be issued),2. Certify that you are not subject to backup withholding, or3. Claim exemption from backup withholding if you are a U.S. exemptpayee. If applicable, you are also certifying that as a U.S. person, yourallocable share of any partnership income from a U.S. trade or businessis not subject to the withholding tax on foreign partners’ share ofeffectively connected income. An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created ororganized in the United States or under the laws of the United States, An estate (other than a foreign estate), or A domestic trust (as defined in Regulations section 301.7701-7).Special rules for partnerships. Partnerships that conduct a trade orbusiness in the United States are generally required to pay a withholdingtax on any foreign partners’ share of income from such business.Further, in certain cases where a Form W-9 has not been received, apartnership is required to presume that a partner is a foreign person,and pay the withholding tax. Therefore, if you are a U.S. person that is apartner in a partnership conducting a trade or business in the UnitedStates, provide Form W-9 to the partnership to establish your U.S.status and avoid withholding on your share of partnership income.Each Junior Exhibitor and Open Show Exhibitor must complete an IRS W-9 formand return it with entry. Premium payment will not be made without a completedW-9 form.Cat. No. 10231XForm W-9 (Rev. 1-2011)

certified coach name(s): certified/bonafide coach phone: (_) _ - _ certified/bonafide coach email: certified/bonafide coach signature: adult small adult medium adult large adult x-large adult xxl large exhibitor shirt size: junior division - must be 8 years of age (in addition to being in the 3rd grade) and not

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