RKET LAMB
ENTRY FEES OFFICIAL DA
Separate entry blank for each exhibitor for each breed. Septem
Number of Animals DEADLINE FO
Breed:
DO
NOTE: ANY EXHIBITOR W
# Dairy Cattle for Open Show TO FURNISH COMPLETE W
TION FOR W-9 FORM. EXHI
(if postmarked on or
before 09/01) $10 ea. $
# Dairy Cattle for Open Show
(if postmarked 09/02 $
to 09/11) $20 ea.
.
Total Enclosed $ I have read and understand, and
rules and regulations, including t
No entries will be accepted if postmarked after 09/11. the Show Ring Office. I further d
RULES & REGULATIONS OF THE
ENTRY FEES - WINSTON-SALEM, ITS AGENTS,
JR. EXHIBITORS ONLY ANY NATURE ARISING FROM, BY
Separate entry blank for each exhibitor for each breed. NOTE: JR. EXHIBITOR
Breed:
# Dairy Cattle for Junior Show MUST CHECK ONE Exh
(Prize monies will be
(if postmarked on or $ No Fee paid to the one checked) Gua
before 09/1)
Exhibitor (for
# Dairy Cattle for Junior Show $
(Provide SSN) Soc
(if postmarked 09/02 (Last
Farm
to 09/11) $10 ea. Add
(Provide Federal Tax ID)
Total Enclosed $
Age of Jr. Exhibitor
Mail entries with check or money order to: As Of 01/01/15 E-M
DIXIE CLASSIC FAIR
P.O. BOX 68 Ow
WINSTON-SALEM, NC 27102 Far
TELEPHONE: (336)727-2236
Add
Separate entry blank must be used by each exhibitor for
each breed. No entries will be accepted unless complete
information is furnished and fees enclosed. Fed
PLEASE FILL OUT COMPLETELY! (Type or print clearly)
Dept. Letter Sex Name of Animal Registration
& Class #
** NOTE - Errors or omissions in premium payments must be reported to
* * HEALTH CERTIFICATES FOR OUT OF STATE ANIMALS ONLY M
(SEE REVERSE SIDE FO
AIRY CATTLE ENTRY BLANK FOR FAIR USE ONLY
Exhibitor No.
mber 30 - October 09, 2016 Postmark Date
Date
OR ENTRIES - SEPTEMBER 1, 2016 Amount Paid $
Deposit No.
O NOT FAX ENTRIES!!!
WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRED
W-9 BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SEC-
IBITOR WILL BE NOTIFIED WHEN TOTALPREMIUMS HAVE BEEN
DETERMINED.
d in consideration for being permitted to exhibit at the Dixie Classic Fair, agree and consent to abide by the
the IAFE (International Association of Fairs and Expositions) National Code of Show Ring Ethics as posted in
declare that all statements made are true. "I HEREBY ENTER ANIMALS AT MY OWN RISK SUBJECT TO THE
E FAIR. I HEREBY AGREE TO RELEASE, INDEMNIFY AND HOLD HARMLESS THE FAIR AND THE CITY OF
EMPLOYEES, OFFICERS AND CONTRACTORS FROM ALL CLAIMS, LOSSES, INJURIES, OR DAMAGES OF
Y OR TO SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELOW OR ENTRY WILL BE RETURNED).
RS: I CERTIFY THAT I HAVE FITTED AND CARED FOR ANIMALS EXHIBITEDFOR 60 DAYS.
(MUST BE SIGNED):
hibitor: Signature:
ardian/Parent: (print) (signature)
r Jr. Exhibitor)
cial Security Number (REQUIRED): XXX-XX-
t 4 digits of social security number for each exhibitor must be provided. If not provided, entry will not be accepted. *See Note.)
dress: Street City State Zip
Mail:
wner Signature:
rm Name: Phone:
dress:
Street City State Zip
deral Tax ID Number (REQUIRED):
(must be provided and correspond with Farm name or entry will not be accepted)
ENTRY BLANK MAY BE COPIED IF NEEDED.
n# Date of Name of Sire Registration #
Birth
o the Fair Administrative Office by December 31 or payment will not be made. **
MUST BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
OR ADDITIONAL ENTRY SPACE)
Dept. Letter Sex Name of Animal DAIRY
& Class #
PLEASE FILL OUT COMP
Registrati
Y CATTLE
PLETELY! -- (Type or print clearly)
ion # Date of Name of Sire Registration #
Birth
OFFICIAL JR. MEAT GOAT ENTRY BL
September 30 - October 09, 2016
DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE RE
COMPLETE W-9 BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECT
EXHIBITOR WILL BE NOTIFIED WHEN TOTAL PREMIUMS HAVE BEEN DETERM
I have read and understand, and in consideration for being permitted to exhibit at the Dixie Classic
rules and regulations, including the IAFE (International Association of Fairs and Expositions) Nation
the Show Ring Office. I further declare that all statements made are true. "I HEREBY ENTER ANIMA
RULES & REGULATIONS OF THE FAIR. I HEREBY AGREE TO RELEASE, INDEMNIFY AND HOLD H
WINSTON-SALEM, ITS AGENTS, EMPLOYEES, OFFICERS AND CONTRACTORS FROM ALL CLAIMS
ANY NATURE ARISING FROM, BY OR TO SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELO
Age of Exhibitor Exhibitor: Signature:
As Of 01/01/16
(Last 4 digits of social security number for each exhibitor must be provided. If not pro
Social Security Number (REQUIRED): XXX-XX-
Address: Street City
E-Mail:
Owner Signature:
Farm Name:
JR MEAT GOATS ENTRY BLANK MAY BE C
Number of Junior Meat Goats Entered: PLEASE FILL OUT COMPLETELY
______________ Each exhibitor is limited to (1)
JR MEAT GOAT
Class #____________ D
Class #____________ D
Class #____________ D
Class #____________ D
Class #____________ D
* * HEALTH CERTIFICATES FOR OUT OF STATE ANIMALS ONLY M
LANK DO NOT FAX ENTRIES! FOR FAIRUSE ONLY
Exhibitor No.
EQUIRED TO FURNISH Postmark Date
TION FOR W-9 FORM. Date
MINED. Amount Paid $
Deposit No.
c Fair, agree and consent to abide by the ENTRY & PEN FEES
nal Code of Show Ring Ethics as posted in
ALS AT MY OWN RISK SUBJECT TO THE Separate entry blank for each exhibitor and each show.
HARMLESS THE FAIR AND THE CITY OF
S, LOSSES, INJURIES, OR DAMAGES OF
OW OR ENTRY WILL BE RETURNED).
ovided, entry will not be accepted. *See Note.) Breed: Pens (if postmarked on or No Fee
before 09/01) $
Pens (if postmarked 09/02
# to 09/11) $5 ea.
#
State Zip Total Enclosed $
If entry is late, entry fees must
accompany entry blank.
Phone: No Entries will be accepted if
postmarked after 09/11.
COPIED IF NEEDED.
Mail entries with check or money order to:
Y! (Type or print clearly) DIXIE CLASSIC FAIR P.O. BOX 68,
WINSTON-SALEM, NC 27102
) one doe per class. TELEPHONE: (336)727-2236
T SHOWS * * PLEASE NOTE * *
Errors or omissions in premium pay-
Date of Birth___________ ments must be reported to the Fair
Date of Birth___________ Administrative Office by December 31
Date of Birth___________
Date of Birth____________ or payment will not be made.
Date of Birth____________
MUST BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
MEA
AT GOAT
OFFICIAL POULTRY & PIGEONS ENTRY BLANK FOR FAIR USE ONLY
Exhibitor No.
September 30 - October 09, 2016 Date
Amount Paid $
DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016 Deposit No.
I plan to enter a Rooster in the Birds Entered
(Please mark) Rooster Crowing Contest.
(give total number)
I, , make the following entries subject to
the Rules and Regulations published in the Fair Premium Catalog. Enclosed is a check for $
for entry fee(s). . . $ .50 per bird. (Check made payable to: DIXIE CLASSIC FAIR and mailed to Post Office Box
68, Winston-Salem, NC 27102). DO NOT FAX ENTRIES!!!
(Last 4 digits of social security number for each exhibitor must be provided. If not provided, entry will not be accepted. *See Note.)
Social Security Number: xxx-xx- ENTRY BLANKS MAY BE
City: COPIED IF NEEDED.
Address:
State: Zip Code: Telephone: E-Mail:
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRED TO FURNISH COMPLETE W-9 BEFORE PAYMENT WILL BE ISSUED. SEE
ENTRY FORM SECTION FOR W-9 FORM. EXHIBITOR WILL BE NOTIFIED WHEN TOTAL PREMIUMS HAVE BEEN DETERMINED.
****PLEASE NOTE - Errors or omissions in premium payments must be reported to the Fair Administrative Office by December 31 or payment will not be made.****
BREED VARIETY CLASS MARK "X" MARK "X" FOR TYPE PIGEON CK HEN YG YG
# FOR ONE CK HEN CKRL PUL BAND # CK HEN
LRG BTM
FWL
(EXAMPLE) Japanese Black F-925 XX
(EXAMPLE) Roller Flying F-1809
99RA1624 X
(SEE REVERSE SIDE FOR ADDITIONAL ENTRY SPACE)
****PLEASE USE CLASS NUMBERS IN FAIR PREMIUM CATALOG, POULTRY & PIGEONS DEPARTMENT****
BREED VARIETY CLASS MARK "X" MARK "X" FOR TYPE PIGEON YG YG
# FOR ONE CK HEN CKRL PUL BAND # CK HEN
LRG CK HEN
FWL
BTM
POULTRY & PIGEONS
OFFICIAL SHEEP & JR. SHEEP ENTRY
September 30 - October 09, 2016
DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRE
BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECTION FOR W-9 FORM. EXH
TOTAL PREMIUMS HAVE BEEN DETERMINED.
I have read and understand, and in consideration for being permitted to exhibit at the Dixie Classic F
rules and regulations, including the IAFE (International Association of Fairs and Expositions) National
the Show Ring Office. I further declare that all statements made are true. "I HEREBY ENTER ANIMAL
RULES & REGULATIONS OF THE FAIR. I HEREBY AGREE TO RELEASE, INDEMNIFY AND HOLD HA
WINSTON-SALEM, ITS AGENTS, EMPLOYEES, OFFICERS AND CONTRACTORS FROM ALL CLAIMS,
ANY NATURE ARISING FROM, BY OR TO SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELOW
NOTE: JR. EXHIBITORS: I CERTIFY THAT I HAVE FITTED AND CARED FOR
FOR 60 DAYS. (MUST BE SIGNED):
MUST CHECK ONE Exhibitor: Signature:
(Prize monies will be
paid to the one checked) Guardian/Parent: (print) (signa
(for Jr. Exhibitor)
Exhibitor Social Security Number (REQUIRED): XXX-XX-
(Provide SSN) (Last 4 digits of social security number for each exhibitor must be provided. If not prov
Address:
Street City
Farm E-Mail:
(Provide Federal Tax ID) Owner Signature:
Age of Exhibitor Farm Name: Phone:
As Of 01/01/16
Federal Tax ID Number (REQUIRED):
(must be provided and correspond w
Separate entry blank must be used by each exhibitor for
No entries will be accepted unless complete information is furnished
PLEASE FILL OUT COMPLETELY! (Type or print clearly)
Dept. Letter Sex Name of Animal Registration #
& Class #
* * HEALTH CERTIFICATES FOR OUT OF STATE ANIMALS ONLY MUST
(SEE REVERSE SIDE FOR A
BLANK DO NOT FOR FAIR USE ONLY
Exhibitor No.
FAX ENTRIES! Postmark Date
Date
6 Amount Paid $
ED TO FURNISH A COMPLETE W-9
HIBITOR WILL BE NOTIFIED WHEN
Fair, agree and consent to abide by the Deposit No.
Code of Show Ring Ethics as posted in
LS AT MY OWN RISK SUBJECT TO THE PEN FEES
ARMLESS THE FAIR AND THE CITY OF
LOSSES, INJURIES, OR DAMAGES OF Separate entry blank for each exhibitor.
W OR ENTRY WILL BE RETURNED).
Breed: Pens (if postmarked on or $
ANIMALS EXHIBITED before 09/01) $5 ea. $
Pens (if postmarked
ature) # 09/02 - 09/11) $10 ea.
vided, entry will not be accepted. *See Note.) #
Total Enclosed $
State Zip Mail entries with check or money order to:
DIXIE CLASSIC FAIR
: P.O. BOX 68
WINSTON-SALEM, NC 27102
TELEPHONE: (336)727-2236
* * PLEASE NOTE * *
with Farm name or entry will not be accepted) Errors or omissions in premium pay-
ments must be reported to the Fair
Administrative Office by December 31
r each breed. or payment will not be made.
d and fees enclosed.
ENTRY BLANK MAY BE COPIED IF NEEDED.
Date of Name of Sire Registration #
Birth
T BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
ADDITIONAL ENTRY SPACE)
Dept. Letter Sex Name of Animal SHEEP &
& Class #
PLEASE FILL OUT COMP
Registratio
& JR. SHEEP
PLETELY! -- (Type or print clearly)
on # Date of Name of Sire Registration #
Birth
OFFICIAL DAIRY GOAT ENTRY BLANK
SENIOR DOE
September 30 - October 09, 2016
DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRED
A COMPLETE W-9 BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECTION FO
EXHIBITOR WILL BE NOTIFIED WHEN TOTAL PREMIUMS HAVE BEEN DETERMINED.
I have read and understand, and in consideration for being permitted to exhibit at the Dixie Classic Fa
rules and regulations, including the IAFE (International Association of Fairs and Expositions) National C
the Show Ring Office. I further declare that all statements made are true. "I HEREBY ENTER ANIMALS
RULES & REGULATIONS OF THE FAIR. I HEREBY AGREE TO RELEASE, INDEMNIFY AND HOLD HAR
WINSTON-SALEM, ITS AGENTS, EMPLOYEES, OFFICERS AND CONTRACTORS FROM ALL CLAIMS, L
ANY NATURE ARISING FROM, BY OR TO SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELOW
MUST CHECK ONE Exhibitor: Signature:
(Prize monies will be
paid to the one checked) (Last 4 digits of social security number for each exhibitor must be provided. If not pro
Exhibitor Social Security Number (REQUIRED): XXX-XX-
(Provide SSN) Address: Street City
E-Mail:
Farm Owner Signature: Phone:
Farm Name:
(Provide Federal Tax ID)
Address:
Street City
Federal Tax ID Number (REQUIRED):
(must be provided and correspond with F
Separate entry blank must be used by each exhibitor for e
No entries will be accepted unless complete informationis furnished
PLEASE FILL OUT COMPLETELY! (Type or print clearly)
Dept. Letter Sex Name of Animal Registration # / T
& Class #
* * HEALTH CERTIFICATES FOR OUT OF STATE ANIMALS ONLY MU
(SEE REVERSE SIDE FOR
K DO NOT FAX ENTRIES! FOR FAIRUSE ONLY
Exhibitor No.
D TO FURNISH * * PLEASE NOTE * * Postmark Date
OR W-9 FORM. Errors or omissions in premium pay- Date
ments must be reported to the Fair Amount Paid $
Administrative Office by December 31
or payment will not be made.
Deposit No.
air, agree and consent to abide by the Breed: ENTRY FEES
Code of Show Ring Ethics as posted in
S AT MY OWN RISK SUBJECT TO THE Separate entry blank for each exhibitor.
RMLESS THE FAIR AND THE CITY OF #
LOSSES, INJURIES, OR DAMAGES OF Entry fees (if postmarked on or
W OR ENTRY WILL BE RETURNED). # before 09/01) $5 ea. animal $
Entry fees (if postmarked
ovided, entry will not be accepted. *See Note.) 09/02 - 09/11) $10 ea. animal $
State Zip Total Enclosed $
: No Entries will be accepted if
postmarked after 09/11.
State Zip
Mail entries with check or money order to:
Farm name or entry will not be accepted) DIXIE CLASSIC FAIR P.O. BOX 68,
WINSTON-SALEM, NC 27102
TELEPHONE: (336)727-2236
each breed.
d and fees enclosed.
ENTRY BLANK MAY BE COPIED IF NEEDED.
Tattoo Date of Name of Sire Registration #
Birth
UST BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
R ADDITIONAL ENTRY SPACE)
SENIOR D
PLEASE FILL OUT COMP
Dept. Letter Sex Name of Animal Registratio
& Class #
DAIRY GOAT
PLETELY! -- (Type or print clearly)
on # / Tattoo Date of Name of Sire Registration #
Birth
OFFICIAL JR. MARKET SWINE ENTRY
September 30 - October 9, 2016
DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRE
BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECTION FOR W-9 FORM. EXH
TOTAL PREMIUMS HAVE BEEN DETERMINED.
I have read and understand, and in consideration for being permitted to exhibit at the Dixie Classic F
rules and regulations, including the IAFE (International Association of Fairs and Expositions) National
the Show Ring Office. I further declare that all statements made are true. "I HEREBY ENTER ANIMAL
RULES & REGULATIONS OF THE FAIR. I HEREBY AGREE TO RELEASE, INDEMNIFY AND HOLD HA
WINSTON-SALEM, ITS AGENTS, EMPLOYEES, OFFICERS AND CONTRACTORS FROM ALL CLAIMS, L
ANY NATURE ARISING FROM, BY OR TO SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELO
NOTE: JR. EXHIBITORS: I CERTIFY THAT I HAVE FITTED AND CARED FOR A
FOR 60 DAYS. (MUST BE SIGNED):
Age of Exhibitor Exhibitor: Signature:
As Of 01/01/16
Guardian/Parent: (print) (signa
(for Jr. Exhibitor)
Social Security Number (REQUIRED): XXX-XX-
(Last 4 digits of social security number for each exhibitor must be provided. If not prov
Address: Street City
E-Mail:
Phone:
ENTRY BLANK MAY BE COPIED IF NEEDED.
PLEASE FILL OUT COMPLETELY! (Type or print clearly)
JUNIOR MARKET SWINE
Number of Market Swine Entered: Yes No
Please check classes entering:
Entering Showmanship Class
Entering Individual Classes
Entering Pen of Three
* * HEALTH CERTIFICATES FOR OUT OF STATE ANIMALS ONLY M
Y BLANK DO NOT FOR FAIR USE ONLY
FAX ENTRIES! Exhibitor No.
Postmark Date
ED TO FURNISH A COMPLETE W-9 Date
HIBITOR WILL BE NOTIFIED WHEN Amount Paid $
Deposit No.
Fair, agree and consent to abide by the PEN FEES
Code of Show Ring Ethics as posted in
LS AT MY OWN RISK SUBJECT TO THE Use separate entry blank for each exhibitor.
ARMLESS THE FAIR AND THE CITY OF
LOSSES, INJURIES, OR DAMAGES OF Breed:
OW OR ENTRY WILL BE RETURNED).
ANIMALS EXHIBITED
# Pens (if postmarked on or Free
ature)
before 09/01)
# Pens (if postmarked 09/02 $
to 09/11) $5 ea.
Total Enclosed $
vided, entry will not be accepted. *See Note.) SEE PREMIUM LIST FOR ALL RULES AND REGULA-
TIONS GOVERNING LIVESTOCK,
State Zip
INCLUDING HEALTH REGULATIONS, ARRIVAL TIMES,
RELEASE TIMES, ETC.
* * PLEASE NOTE * *
Errors or omissions in premium pay-
ments must be reported to the Fair
Administrative Office by December 31
or payment will not be made.
Mail entries with check or money order to:
DIXIE CLASSIC FAIR
P.O. BOX 68
WINSTON-SALEM, NC 27102
TELEPHONE: (336)727-2236
DO NOT FAX!
MUST BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
JR. MAR
RKET SWINE
MID-ATLANTIC SOUTHEASTERN 2016 WINE C
Competition Dates
PLEASE SEE PAGE 163
ENTRY FORM AND WINE DUE TO THE OFFICE B
PLEASE FILL OUT COMPLETELY! (Type or print clearly, use multiple lines if necessary.)
This Entry Is For: Commercial Competition Amateur Co
1. Winery Name:
2. Winery Mailing Address: State:
City:
3. Winery Website:
4. Contact Person's Name: (Ce
5. Contact Person's Phone Numbers:(Daytime 8-5)
6. Contact Person's Email Address:
7. Interested in sampling and selling your wines one night during our nightly wine ta
Item Description In Name of Wine
Section Number DCF Catalog
Number S1 (Page 164) (Use Exact Wording On Wine
101 or 1-82
102
* Use mutiple lines if necessary for each wine.
By signing this form, wine maker certifies all information is corr
ALL DISPLAY WINE MUST BE PICKED UP AT THE FAIR OFFICE
ANY WINE THAT IS NOT PICKED UP WILL BECOME PROPERTY O
FAIR AND BE DISPOSED OF.
COMPETITION OFFICIAL WINE ENTRY BLANK
s - August 6 - 7, 2016
3 FOR GENERAL RULES
FOR FAIR USE ONLY
BY JULY 27, 2016 Exhibitor No.
Postmark Date
ompetition Date
Amount Paid
Deposit No.
Zip Code: Mail entries with check or money order to:
DIXIE CLASSIC FAIR
ell) (Fax) 421 W. 27th St.
astings during the fair? Yes
WINSTON-SALEM, NC 27105
TELEPHONE: (336)727-2236
DO NOT FAX!
No ENTRY BLANK MAY BE COPIED IF NEEDED.
e Label) Vintage Each Grape/Fruit Is wine made from COMMERCIAL COMMERCIAL
Variety(s) and at least 75% fruit ONLY ONLY
Date it's % grown Mid-Atlantic
Residual Alcohol
(If Applicable) SE Region? * Sugar % Content %
Yes or NO
* Mid-Atlantic South Eastern Region - GA, NC, SC, TN, VA, and WV
rect and true. Date
BY OCTOBER 14, 2016. Number of Commercial Wines Entered:
OF THE DIXIE CLASSIC x $10.00
Number of Amateur Wines Entered:
x $5.00
Total Enclosed:
Item Description In DCF MID-ATLANTIC W
Section Number
Number S1 Catalog Name of Wine
101 or 1-82 (Page 164)
(Use Exact Wording On Wine
102
* Use mutiple lines if necessary for each wine.
WINE COMPETITION
e Label) Vintage Each Grape/Fruit Is wine made from COMMERCIAL COMMERCIAL
Variety(s) and at least 75% fruit ONLY ONLY
Date it's % grown Mid-Atlantic
Residual Alcohol
(If Applicable) SE Region? * Sugar % Content %
Yes or NO
* Mid-Atlantic South Eastern Region - GA, NC, SC, TN, VA, and WV
YOUTH DAIRY GOAT ENTRY BLANK
September 30 - October 09, 2016
DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIR
A COMPLETE W-9 BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECTION
EXHIBITOR WILL BE NOTIFIED WHEN TOTAL PREMIUMS HAVE BEEN DETERMINED.
I have read and understand, and in consideration for being permitted to exhibit at the Dixie Classic Fair
to abide by the rules and regulations, including the IAFE (International Association of Fairs and Exposit
of Show Ring Ethics as posted in the Show Ring Office. I further declare that all statements made a
ENTER ANIMALS AT MY OWN RISK SUBJECT TO THE RULES & REGULATIONS OF THE FAIR. I HERE
LEASE, INDEMNIFY AND HOLD HARMLESS THE FAIR AND THE CITY OF WINSTON-SALEM, ITS AGE
OFFICERS AND CONTRACTORS FROM ALL CLAIMS, LOSSES, INJURIES, OR DAMAGES OF ANY NATU
BY OR TO SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELOW OR ENTRY WILL BE RETURNE
Exhibitor: Signature:
(Last 4 digits of social security number for each exhibitor must be provided. If not provided, entry will not be accepted. *See Note.)
Social Security Number (REQUIRED): XXX-XX-
Address: Street City State
Phone:
E-Mail:
PLEASE FILL OUT COMPLETELY! (Type or print clearly)
Separate entry blank must be used by each exhibitor for each
No entries will be accepted unless complete informationis furnished and
SEE PREMIUM LIST FOR ALL RULES AND REGULATIONS GOVERNING
INCLUDING HEALTH REGULATIONS, ARRIVAL TIMES, RELEASE TIM
Dept. Letter Name of Animal and Breed Registration # / Tatto
& Class #
* * HEALTH CERTIFICATES FOR OUT OF STATE ANIMALS ONLY MU
(SEE REVERSE SIDE FOR A
K DO NOT FOR FAIR USE ONLY
FAX ENTRIES! Exhibitor No.
RED TO FURNISH Postmark Date
FOR W-9 FORM.
* * PLEASE NOTE * * Date
r, agree and consent Errors or omissions in premium pay- Amount Paid $
tions) National Code ments must be reported to the Fair Deposit No.
are true. "I HEREBY Administrative Office by December
EBY AGREE TO RE-
ENTS, EMPLOYEES, 31 or payment will not be made.
URE ARISING FROM,
ED). Age of Exhibitor ENTRY & PEN FEES
As Of 01/01/16
Zip Separate entry blank for each exhibitor and each show.
Breed:
# Pens (if postmarked on or No Fee
before 09/01)
# Pens (if postmarked 09/02 $
to 09/11) $5 ea.
Total Enclosed $
No Entries will be accepted if
postmarked after 09/11.
h breed. Mail entries with check or money order to:
d fees enclosed. DIXIE CLASSIC FAIR
P.O. BOX 68
LIVESTOCK,
MES, ETC. WINSTON-SALEM, NC 27102
TELEPHONE: (336)727-2236
ENTRY BLANK MAY BE COPIED IF NEEDED.
oo Date of Name of Sire Registration #
Birth
UST BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
ADDITIONAL ENTRY SPACE)
Dept. Letter Name of Animal and Breed YOUTH D
& Class #
PLEASE FILL OUT COMPL
Registration # / Tattoo
DAIRY GOAT
LETELY! -- (Type or print clearly)
Date of Name of Sire Registration #
o Birth
OFFICIAL BEEF CATTLE ENTRY
September 30 - October 09, 2016
DEADLINE FOR ENTRIES - SEPTEMBER 1, 20
NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRED
BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECTION FOR W-9 FORM. EXH
TOTAL PREMIUMS HAVE BEEN DETERMINED.
I have read and understand, and in consideration for being permitted to exhibit at the Dixie
abide by the rules and regulations, including the IAFE (International Association of Fairs
Show Ring Ethics as posted in the Show Ring Office. I further declare that all statements
ANIMALS AT MY OWN RISK SUBJECT TO THE RULES & REGULATIONS OF THE FAIR.
INDEMNIFY AND HOLD HARMLESS THE FAIR AND THE CITY OF WINSTON-SALEM, ITS A
AND CONTRACTORS FROM ALL CLAIMS, LOSSES, INJURIES, OR DAMAGES OF ANY NA
SAID ANIMALS" (OWNER & EXHIBITOR MUST SIGN BELOW OR ENTRY WILL BE RETURN
MUST CHECK ONE Exhibitor: Signature:
(Prize monies will be
paid to the one checked) (Last 4 digits of social security number for each exhibitor must be provided. If not pro
Social Security Number (REQUIRED): XXX-XX-
Exhibitor Address: Street City
(Provide SSN)
Farm E-Mail:
(Provide Federal Tax ID) Owner Signature:
Farm Name: Phone:
Address:
(complete mailing address)
Federal Tax ID Number (REQUIRED):
(must be provided and correspond w
Guardian/Parent:
(for Jr. Exhibitor) (print) (signa
No entries will be accepted unless complete information is furnished a
PLEASE FILL OUT COMPLETELY! (Type or print clearly)
Dept. Letter Sex Name of Animal Breed
& Class #
* * HEALTH CERTIFICATES OUT OF STATE ANIMALS ONLY MUST
*Angus, Any Other Breed and Charlois check in 8-10am, Wed. Oct. 5th -
* Red Angus, Herford, Simmental check in 10am - Noon, Wed.
BLANK FOR FAIR USE ONLY
6 ENTRY BLANK MAY Exhibitor No.
BE COPIED IF NEEDED.
016
Postmark Date
D TO FURNISH A COMPLETED W-9 DO NOT Date
HIBITOR WILL BE NOTIFIED WHEN
e Classic Fair, agree and consent to FAX ENTRIES! Amount Paid $
and Expositions) National Code of
made are true. "I HEREBY ENTER Deposit No.
I HEREBY AGREE TO RELEASE, Mail entries with check or money order to:
AGENTS, EMPLOYEES, OFFICERS DIXIE CLASSIC FAIR
ATURE ARISING FROM, BY OR TO P.O. BOX 68
NED).
WINSTON-SALEM, NC 27102
TELEPHONE: (336)727-2236
ovided, entry will not be accepted. *See Note.) ENTRY FEES
y State Zip # Beef Cattle for Open Show $
(if postmarked on or
before 09/01) $10 ea.
# Beef Cattle for Open Show $
(if postmarked 09/02
to 09/11) $20 ea.
Total Enclosed $
with Farm name or entry will not be accepted) No entries will be accepted if postmarked after 09/11.
ature)
* * * * PLEASE NOTE * * * *
and fees enclosed.
Errors or omissions in premium payments must
be reported to the Fair Administrative Office by
December 31 or payment will not be made.
Registration # Date of Name of Sire
Birth
T BE CHECKED BEFORE UNLOADING ANIMALS AT FAIRGROUNDS * *
Open Show Only (SEE REVERSE SIDE FOR ADDITIONAL ENTRY SPACE)
Oct. 5th
Dept. Letter Sex Name of Animal BEEF
& Class #
PLEASE FILL OUT COMP
Breed
F CATTLE
PLETELY! -- (Type or print clearly)
d Registration # Date of Name of Sire
Birth
OFFICIAL EDUCATIONAL BOOTH / DECORATED CHRISTMAS TREES
MAIL ENTRIES TO: ENTRY BLANK
DIXIE CLASSIC FAIR
DIXIE CLASSIC FAIR, Winston-Salem, NC FOR FAIR USE ONLY
P.O. BOX 68 Exhibitor No.
WINSTON-SALEM, NC September 30 - October 09, 2016
27102 DEADLINE FOR ENTRIES - SEPTEMBER 1, 2016
Telephone: (336)727-2236
ENTRY BLANK MAY BE COPIED IF NEEDED.
* * PLEASE NOTE * *
**Errors or omissions in premium payments must be reported to the Fair Office by December 31 or payment will not be made.**
USE THIS ENTRY FORM FOR: M - EDUCATIONAL SERVICE, EXTENSION,
Z - YOUTH ORGANIZATIONAL BOOTHS AND S5 - DECORATED CHRISTMAS TREES ONLY
Please type or print clearly:
Name: Age (youth division only):
(Last 4 digits of social security number for each exhibitor must be provided. If not provided, entry will not be accepted. *See Note.)
Social Security Number: XXX-XXX-
Address: Phone: E-Mail:
Street, Rt. or Box
City/State: Zip:
If Applicable, complete the following:
Club / Organization:
FEDERAL TAX ID NUMBER (REQUIRED):
Contact Name: Phone:
Address:
*NOTE: ANY EXHIBITOR WITH PREMIUMS TOTALING $600 OR MORE WILL BE REQUIRED TO FURNISH A COMPLETED W-9
BEFORE PAYMENT WILL BE ISSUED. SEE ENTRY FORM SECTION FOR W-9 FORM. EXHIBITOR WILL BE NOTIFIED WHEN
TOTAL PREMIUMS HAVE BEEN DETERMINED.
Please accept the following entries subject to the rules as published in the Premium List by which I agree to be governed,
and I further declare that all statements made in connection with said entries are true.
Dept. Section Item Description of Article or Title of Class, as given in Premium List.
Letter Number Number (All articles entered in miscellaneous categories should be described in detail)
(SEE REVERSE SIDE FOR ADDITIONAL ENTRY SPACE) YES
PLEASE MARK if you have already sent a 2016 entry blank to the Dixie Classic Fair?
Dept. Section Item Description of Article or Title of Class, as given in Premium List.
Letter (All articles entered in miscellaneous categories should be described in detail)
Number Number
EDUCATIONAL BOOTH / DECORATED CHRISTMAS TREES
#1 LIVESTOCK BARN/CATTLE
#2 AGRONOMY/FRUITS/VEGETABLES/TOBACCO/BEES & HONEY
#3 SHEEP/LAMBS/SWINE/GOATS
#4 POULTRY & PIGEONS
#5 HOMEMAKING-CLOTHING/CULINARY/FOOD PRESERVATION/
HOME FURNISHINGS/ARTS & CRAFTS/HOBBYCRAFTS/
PHOTOGRAPHY/POEMS/ESSAYS/COLLECTIONS/SR. ADULT EXHIBITS/
JR. HOMEMAKING/EXCEPTIONAL CHILDREN EDUCATION
TECHNOLOGY EDUCATION/EXCEPTIONAL CHILDREN & ADULT CRAFTS/
COMPETITIVE BOOTHS/SCHOOL ART DISPLAY
#6 COMMERCIAL EXHIBITS
#7 CLOCK TOWER STAGE-ENTERTAINMENT
#8 YESTERDAY VILLAGE-RESTORED LOG BLDGS./BLACKSMITH SHOP/ANTIQUES
IN MUSEUM/ANTIQUE EQUIPMENT/CHRISTMAS TREES &WREATHS
#9 PETTING FARM ANIMALS
#10 ARENA 1
#11 ADMINISTRATIVE OFFICE
#12 GRANDSTAND
#13 MIDWAY
#14 VILLAGE PAVILION-SPECIAL EVENTS
#15 NEIL BOLTON HOME & GARDEN BUILDING/FLOWER SHOWS/PROFESSIONAL
FLORISTS
#16 GAZEBO
FOR NORTHWEST NORTH CAROLINA PRESORTED STANDARD
U.S. POSTAGE PAID
421 West 27th Street WINSTON-SALEM, NC
Post Office Box 68 PERIMT NO. 125
Winston-Salem, NC 27102
PHONE: (336) 727-2236
WEB: www.dcfair.com
Email: [email protected]
www.facebook.com/dcfair
www.twitter.com/dcfair
ENTRY DEADLINE
SEPTEMBER 1, 2016