entry package instructions - humbleisd.net
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Entry Package Instructions
ALL ENTRIES MUST BE POSTMARKED BY– SEPTEMBER 12, 2014
Entry should include: 2014 Harris County Fair Entry Form 2014 Harris County Fair Home Ec Entry Form (if entering) 2014 Release of Liability Form W-9 form Payment for Entry/Entries-Made payable to Harris County Fair At Check-In for the Fair: Student must turn in his/her 2014 Declaration of Eligibility Form signed by the CEA, AST, FCCLA, and Principal. Included in this package: 2014 Harris County Fair Entry Form 2014 Harris County Fair Home Ec Entry Form 2014 Release of Liability Form 2014 W-9 Form 2014 Declaration of Eligibility Form Please make sure all paperwork is submitted when due!
Harris County Fair 2014 JUNIOR SHOW SUMMARY SHEET
ALL ENTRIES MUST BE POSTMARKED BY–SEPTEMBER 12, 2014
NAME:________________________________ SOCIAL SECURITY #___________________________
ADDRESS:_________________________________________________________________________
PHONE #_______________________________BIRTHDATE:_________________________________
SCHOOL______________________________________ GRADE______________________________
EMAIL ADDRESS:___________________________________________________________________
SPECIES TAG # MAX FEE PER ENTRY AMOUNT DUE
BROILERS N/A 1 pen $25.00
GOATS 1 $30.00
JR. BREEDING BEEF $30.00 a Head CALF SCRAMBLE
HEIFER/STEER (circle one) 1 No Charge
LAMBS 1 $30.00
RABBITS N/A 1 pen $25.00 for the first pen, $10.00 for second pen
$5.00 for singles
STEERS 1 $30.00
SWINE 1 $30.00
TURKEYS N/A 1 $25.00
TOTAL AMOUNT DUE:
Please complete for all beef heifers
Breed___________________________________ Breed___________________________________
Birth date________________________________ Birth date________________________________
Name of Animal__________________________ Name of Animal__________________________
Registration #____________________________ Registration #____________________________
Sire_____________________________________ Sire_____________________________________
Sire Registration #________________________ Sire Registration #________________________
Dam____________________________________ Dam____________________________________
Dam Registration #________________________ Dam Registration #________________________
Breed___________________________________ Breed___________________________________
Birth date________________________________ Birth date________________________________
Name of Animal__________________________ Name of Animal__________________________
Registration #____________________________ Registration #____________________________
Sire_____________________________________ Sire_____________________________________
Sire Registration #________________________ Sire Registration #________________________
Dam____________________________________ Dam____________________________________
Dam Registration #________________________ Dam Registration #________________________
Make check payable to Harris County Fair
2014 Harris County Fair
Home Economic/Horticulture Entry Applications
NAME: ________________________________________________ BIRTHDATE: ________________
ADDRESS: ___________________________________CITY:_____________________ZIP:_________
BEST PHONE #:_________________________ ORGANIZATION: ____________________________
E-MAIL: ___________________________________________________________GRADE: _________
Entry Fees Per Entry $20.00 – Juniors & Seniors
$15.00 – Adults
No Charge – Senior Citizens
Age Designations Juniors – 9 (or in the third grade) to 13 years of age as of 8-31-14
Seniors –14 to 19 years of age (must be in High School) as of 9-1-14
Adults – 20 to 64 years of age
Senior Citizen – over 65 years of age
____________________________________________________________________________________
Please circle the following classes you are entering.
Home Economics
Creative Arts 1. Seasonal Crafts: 2. Decorative/Functional Crafts: 3. Ceramics/Sculpture:
4. Textile Design/3 Dimensional: 5. Gifts from the Kitchen
Food 1. Cookies: 2. Cakes: 3. Pies: 4. Breads: 5. Candy: 6. Preserves
Needle Art 1. Canvas: 2. Lace/Smocking: 3. Knitting/Crochet: 4. Quilts/Pillows
Visual Arts 1. Black/White person, place/thing: 2. Color person, place/thing: 3. 3 to 6 pho-
tos on 1 mat board (not matted): 4. Black/White person, place/thing-altered: 5.
2 Dimensional
Horticulture 1. Hanging Baskets: 2. Terrariums: 3. Dish & European Gardens: 4. Con-
tainer plants under 6” diameter: 5. Container plants -6” to 10”: 6. Container
plants-over 10”: 7. Topiary: 8. Mounted specimen: 9. Decorative containers:
10. Abeyance Vegetable: 11. Plate Vegetable
All Grand Champions and Reserve Grand Champions will go into the LIVE auction. Please check
if you want your project in the SILENT auction.
SILENT AUCTION YES _______ NO______
Entry form must be signed by the Exhibitor and Guardian
EXHIBITOR___________________________________________________________
PARENT_______________________________________________________________
HARRIS COUNTY FAIR RELEASE OF LIABILITY / DRUG CERTIFICATION In consideration, the receipt and sufficiency of which is hereby acknowledged, for being allowed entry into and participation in activities (the
“Activities”) associated with the Harris County Fair, Houston Farm and Ranch, the undersigned hereby enters into this RELEASE OF LIABILITY AND INDEM-
NITY AGREEMENT (this “AGREEMENT”) as of the date set forth below.
1. ACKNOWLEDGEMT OF RISKS: The undersigned recognizes and understands that there are risks associated with their participation in the Activities includ-
ing, but not limited to, bodily injury or death to persons and damage to property. The undersigned further acknowledges and understands that they will be held
liable and responsible for any and all damage to persons, livestock, vehicles, property, and/or improvements to property that is caused by them and/or any per-
sons (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 and participation in
the Activities.
2. APPLICABILITY AND SCOPE OF RELEASES AND INDEMNITIES: For purposes of this Agreement, “Claims” shall mean any past, present and future claims,
losses, costs, expenses, liabilities, demands, or causes of action, and costs of defense or settlement (including, without limitation, attorneys’ fees and court costs).
The releases, waivers, and indemnities contained in this Agreement expressly shall apply regardless of whether the Claims to be (i) NEGLIGENCE (WHETHER SOLE,
JOINT OR CONCURRENT), GROSS NEGLIGENCE, NEGLIGENCE PER SE, and/or STRICT LIABILITY, of HCF&R or their respective present and former officers, directors,
members, subsidiaries, affiliates, employees, staff and agents and any other person, firm or corporation bound to defend or pay judgments against them (the
“Released Parties”); (ii) personal injury, death or property damage; (iii) acts under the Texas Deceptive Trade Practices Act (“DTPA”); (iv) acts of any other persons
or guests; (v) theft, burglary, assault, or other crimes; (vi) fire, water, wind, rain and/or smoke and/or (vii) any other risks and hazards associated with the under-
signed’s entry into and participation in the Activities, including, but not limited to, the general conditions at the Activit ies, animals both wild and domestic that
may be diseased and/or potentially dangerous, persons with firearms both on and off the premises used in connection with the Activities, and the driving or riding
in any vehicles, whether belonging to Released Parties or to other persons.
3. RELEASE FROM LIABILITY: The undersigned hereby RELEASES, AQUITS AND FOREVER DISCHARGES, AND WAIVES any and all Claims against any of the Re-
leased Parties that arise from or relate to their entry and participation in the Activities-including, but not limited to, the types of claims enumerated in Paragraph
2- and agree not to sue any of the Released Parties for such Claims. Without limiting the foregoing, the undersigned agrees that the Released Parties shall not be
liable to them, their family, or their guests, for personal injury, property damage, or any other Claims arising from or related to the undersigned’s entry into and
participation in the Activities.
4. AGREEMENT TO INDEMNIFY AND HOLD HARMLESS: The undersigned agrees to INDEMNIFY and HOLD HARMLESS the Released Parties against any and all
Claims arising from or related to the undersigned’s entry and participation in the Activities-including, but limited to, the types of Claims enumerated in Para-
graph 2. In addition, and without limiting the foregoing, the undersigned agrees to INDEMIFY the Released Parties for any Claims for injuries to any minors under
their care and control and/or his or her parent/guardian, and for any Claims asserted by, through or under the undersigned, arising from or related to the under-
signed’s entry into and participation in the Activities-including, but not limited to, the types of Claims enumerated in Paragraph 2. As used herein, “INDEMNIFY”
means to agree to assume the Released Parties’ liability in a situation, thereby relieving them of responsibility, and/or reimbursing the Released Party for Claims
asserted against them.
5. PHOTOGRAPH/INTERVIEW RELEASE AND INDEMNITY AGREEMENT: The undersigned GRANTS PERMISSION to be PHOTOGRAPHED or INTERVIEWED in
connection with the Activities. The undersigned understands that any such photograph or interview may be used by the Released Parties or television, film, video,
visual, graphic or printed media. The undersigned agrees to RELEASE and INDEMNIFY the Released Parties with respect to any Claims related to the usage of such
photographs or interviews by the Released Parties or any media-including, but not limited to, the types of Claims enumerated in Paragraph 2.
As further inducement to HCF to permit the undersigned’s entry into and participation in the Activities, the undersigned represents that they thoroughly and
completely understand that this is a complete and final release and indemnity agreement, that they are freely and voluntarily entering into this Agreement, and
that no representations, promises or statements made by any Released Party, or any agent, attorney or other representative of any Released Party has influenced
the undersigned in causing them to sign this Agreement.
The undersigned understands that this agreement shall be binding on their heirs, executors, successors and assigns, that the Agreement will be governed by the
laws of Texas, and that jurisdiction and venue for resolution of any dispute regarding this Agreement shall lie in a Texas State Court in Harris County, Texas. If any
part of this Agreement is determined to be invalid or unenforceable, it does not affect the validity of the remainder of this Agreement. The undersigned agrees to
the terms and conditions above, and acknowledges receipt of this Agreement.
We, the Junior Exhibitor and parent/guardian certify that we have read, understand and will abide by all rules and regulations of the Harris County Fair. We
further certify that we have not administered to and have no knowledge that this entry has received any substance not approved by the Food and Drug Admini-
stration (FDA) and/or the U.S. Department of Agriculture (USDA) for food animals. Furthermore, we certify that all entries will be FREE of all Drug and Chemical
Residues at the time of weigh in. Please note that the time it takes for drugs and chemicals to be entirely excreted from the body through the urine of animals is
generally longer that the labeled FDA and USDA withdrawal times for most approved drugs and chemicals.
If any animal requires emergency treatment while on Show grounds, only a licensed veterinarian will be allowed to administer any drug, chemical or feed addi-
tive. An exhibitor may choose a licensed veterinarian, the Harris County Fair Livestock Chairman or Fair Chairman must be notified in advance and he/she must
be present. All treatment cost are the responsibility of the exhibitor. If an animal is treated by a licensed veterinarian while at the HCF and the medication admin-
istered contains a labeled withdrawal time or unpublished elimination time the animal will be disqualified. Sifted and non-placing swine, lambs and goats will be
sold as condemned if the animal in under any withdrawal requirement.
The Harris County Fair reserves the right to condemn and/or disqualify any animal, either live or slaughtered, found in violation of the use of drugs, chemicals or
feed 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 positive and/or the carcass condemned at slaughter, the class placing will change. An exhibitor of an animal testing positive for any drug or medication
or unapproved chemical may forfeit all rights and privileges in exhibiting livestock in the future at the Harris County Fair.
____________________________________________________________ _______ ___________________________________________________
Signature-Exhibitor Date Name-Printed
____________________________________________________________ _______ __________________________________________________
Signature-Parent/Guardian Date Name-Printed
RELATIONSHIP TO MINOR:_______________________________
Name of Club or Chapter_________________________________
HARRIS COUNTY FAIR DECLARATION OF ELIGIBILITY FORM
__________________________________________________________________ In accordance with House Bill 72 and in
cooperation with the Texas Education Agency and local public school policies
This information must accompany any student participating in Harris County Fair 4-H, FFA or FFA Activities during the Harris County Fair. STUDENTS NAME:______________________________________ (Type or Print) NAME OF SCHOOL:_____________________________________ (Type or Print) ——————————————————————————————————————————————- I hereby certify that ____________________________ is a member of 4-H/FFA/FHA n Harris , and has net the requirements to participate in the 2013 Harris County Fair representing 4-H/FFA/FHA in a period of time beginning October 15—October 18, 2014. Date:__________________ CEA/AST/Home Ec: _____________________________________________ ——————————————————————————————————————————————- PRINCIPAL—Please check one of the statements below, sign and stamp with the school seal or school stamp before returning this form to the student. Please make sure the grading period used to complete this form will apply for the Harris County Fair dates October 15—October 18, 2014. _______ I do certify that the student is academically eligible to participate in the above—mentioned extracurricular activity. _______ I do NOT certify the student because he/she is NOT academically eligible to participate in the above mentioned extracurricular activity. Signed:___________________________________________ Date: _____________________________ ——————————————————————————————————————————————- This form is to be turned in to the school not more than one week of the week prior to the start of Harris County Fair. The student is responsible for picking form up from your school and turning it in al check-in. Please turn in the original form to the Division Chairman at your first check-in and make copies for the Division Chairman of each subsequent event you have entered. If you are academically ineligible, please refer to Rule 21 of the General Rules and Regulations.