Hog Showmanship Clinic Registration
Hog Showmanship Clinic Registration June 10th, 2018 Potter County Fair Grounds 9 am– 3pm
Lunch Provided Sponsored By Country Crossroads and Feed Supply
Members Name: Address:
Club: (Street)
(City)
Phone Number:
(State)
(Zip)
Email:
Member Date of Birth:
.
Age as of January:
Acknowledgement of Risk Forms Signed: Yes Photo Release Permission: Yes
. .
.
No
No
Are you bringing your own hog? Yes
No
RETURN TO THE POTTER COUNTY EXTENSION OFFICE BY MAY 25TH ! Any questions contact Toby Neal at 814-274-8540 ext. 107 or Email: [email protected] Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Lunch Provided Sponsored By Country Crossroads and Feed Supply
Members Name: Address:
Club: (Street)
(City)
Phone Number:
(State)
(Zip)
Email:
Member Date of Birth:
.
Age as of January:
Acknowledgement of Risk Forms Signed: Yes Photo Release Permission: Yes
. .
.
No
No
Are you bringing your own hog? Yes
No
RETURN TO THE POTTER COUNTY EXTENSION OFFICE BY MAY 25TH ! Any questions contact Toby Neal at 814-274-8540 ext. 107 or Email: [email protected] Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
