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MAIL TO: Audra Junek, Sec./Mgr., NORTH CENTRAL KANSAS FREE FAIR, Box 332, Belleville, Kansas 66935

EXHIBITOR NO.

Use This Entry Form For Livestock Only

North Central Kansas Free Fair

Belleville, Kansas

Check With Closing Dates In Fair Book

Please accept the entries indicated below, subject to the rules and classifications governing the exhibit at the North Central Kansas Free Fair, as published in the Premium List, by which I hereby agree to be governed in exhibiting the same, and I declare that all statements in connection with said entries are true.

Class No. Name of Animal

Reg. No. In Stud or Herd Book Date of Birth

Breed Sex

Name of Dam

No.

Name of Sire

No.

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Name__________________________________________Address_______________________City______________State______ Dept.

User agrees to indemnify and hold the County, and its officers, agents and employees harmless from any and all liability, damages, actions, claims, demands, expenses, judgments, fees and cost of whatever kind of character, arising from, by reason of, or in connection with the use of the facilities described herein. It is the intention of the parties that the County, and its officers, agents and employees shall not be liable or in any way responsible for injury, damage, liability, loss or expense resulting to the user and those it brings onto the premises. User expressly assumes full responsibility for any and all damages or injuries which may result to any person or property by reason of or in connection with the use of the facilities pursuant to this agreement, and agrees to pay the County for all damages caused to facilities resulting from users activities.

APPLICANT SIGNATURE__________________________________________________________________APPLICATION DATE_______________________________________

The regulations and requirements for entering in the Livestock Department must be carefully observed. Otherwise exhibitors will not be permitted to compete in the show ring. HOUSING AND ENTRY FEES MUST ACCOMPANY ENTRIES. Additional entry forms available on request to the Secretary. Each of the above lines hold one entry. All entries must be made on these lines.

Enclosed fine $____________________________

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NCK Free Fair - 2011 Fair Book  
NCK Free Fair - 2011 Fair Book  

NCK Free Fair - 2011 Fair Book

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