Please enter the following information in the blanks provided.

Name:

Address: 

Phone Number:

Are you enrolled in Wicomico 4H?

Age as of January 1, 2010 Date of Birth

Number of Animals:       

   Dairy    Beef     Sheep    Swine    Calves    Goats 

Number of Pens Needed:

Goats    Swine     Sheep

Entry Deadline - August 1, 2010

(If you have more than 20 entries, please complete this form, submit it, and then return to this form to add additional entries)

To submit via email, Please hit the submit button when done!

(Do not close this entry form until done,

use your browser's back button to move between listings and this entry).

If you do not have email, you can still click on submit, then copy and paste the contents

of the confirmation page into a word document, print and mail to:

Wicomico Farm & Home Show

PO Box 493

Salisbury, MD 21803