Youth Club Exhibitor Enrollment Form Step 1 of 2 50% LinkedInThis field is for validation purposes and should be left unchanged.Eligibility requirements include the following: Must be age 5-19, this will be based on age of January 1 of this calendar year. Must belong to a club that is a registered and approved club with the Hudsonville Community Fair Board. You must be a member of a club that participates with the species you intend to show. (You may belong to multiple clubs.) This completed enrollment and liability form must be submitted electronically by March 1 (this applies even if only participating in still exhibits). All intended animal projects must be declared to fair office by March 1 on this form. Project coordinators may also require specific declaration forms for their department with their own deadlines, please check with your club leaders for these deadlines. A completed premium sheet for classes being entered is due to fair office by August 1. Please use your Hudsonville Community Fair assigned exhibitor number. New members will be assigned a number from the Hudsonville Community Fair secretary. New or Returning? New Exhibitor Returning Exhibitors Exhibitor Name(Required) First Last Exhibitor Number(Required)Please use your Hudsonville Community Fair assigned exhibitor number. New members will be assigned a number from the Hudsonville Community Fair secretary.Birthdate(Required) MM slash DD slash YYYY Must be age 5-19, this will be based on age of January 1 of this calendar year.Home Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number(Required)Email(Required) Parent/Guardian NameParent/Guardian Phone NumberPrimary Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubClub that your premium check will be released toSecondary ClubBell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubPlease declare the projects that you intend to exhibit at the Hudsonville Community Fair.This form is for fair office purposes and is required by March 1. It DOES NOT take the place of individual project species declaration sheets that are given to project coordinator and does not guarantee a stall/pen/cage.This field is hidden when viewing the formExhibits Beef Feeders Lambs Hogs Horse Donkey Dairy Poultry Rabbits/Cavy Dogs Cats Goats Still Exhibits Only Beef Beef Feeders Feeders Lambs Lambs Hogs Hogs Horse Horse Donkey Donkey Dairy Dairy Poultry Poultry Rabbits/Cavy Rabbits/Cavy Dogs Dogs Cats Cats Goat Goat Still Exhibits Only Still Exhibits Only Market Goats Market Goats Market Poultry Market Poultry Market Rabbit Market Rabbit Beef: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubFeeders: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubLambs: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubHogs: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubHorse: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubDonkey: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubDairy: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubPoultry: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubRabbits: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubDogs: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubCats: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubGoats: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubMarket Goats: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubMarket Poultry: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubMarket Rabbit: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth ClubStill Exhibits: Club(Required)Bell DairyBit By Bit Youth ClubBow Wow Bunch 4-hByron Center Livestock ClubCritter Barn 4-H ClubDown on the FarmDrenthe LivestockGrand River 4H ClubHigh Point RidersHilltop Gang 4-H ClubHorse N AroundHudsonville Livestock ClubKrafty KidsManes & TailsPart Time Youth ClubSaddle BendersShow N The RopesSouth Siders LivestockStar DairyTownlineWestside Youth Club Hudsonville Community Fair Youth Club Exhibitor WaiverExhibitor Name(Required) First Last Parent/Legal Guardian(Required)WAIVER OF PHYSICAL DAMAGE OR INJURYPlease recognize the Hudsonville Community Fair does not carry medical accident insurance for injuries sustained in its programs, insurance for physical damage to a participant’s property or liability coverage arising out of the use of a participant’s property.(Required) The Hudsonville Community Fair strives to conduct its recreation programs and activities in a safe manner and holds the safety of participants in the highest regard. Participants and Parents registering their child in recreation programs must recognize however that there is an inherent risk of injury when choosing to participate in any recreation activities. The Hudsonville Community Fair continually strives to reduce such risks and insists that all participants follow safety rules and instructions which have been designed to protect the participant’s safety.Parent’s initial(Required)The Hudsonville Community Fair requires execution of the following Waiver and Release. Your cooperation is greatly appreciated.WAIVER AND RELEASE OF ALL CLAIMSPlease read this form carefully and be aware that in registering yourself and/or your ward to participate in this/these programs, you will be waiving and releasing all claims of injuries, medical expenses, damage or loss, or claims your ward might sustain through participation in these programs listed below.Media Release(Required) I hereby grant permission to the rights of the Hudsonville Community Fair of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears for social media, web, and broadcast.Youth Club Activities(Required) I have read and fully understood the above program details, waiver and release of all claims and permission to secure treatment.As a participant or the parent/guardian of a participant in this program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, damages or loss which I or my ward may sustain as a result of participating in any way associated with the activities of the program. As a participant or the parent/guardian of a participant in this program I will abide by all rules and regulations set forth by the Hudsonville Community Fair regarding the Youth Club program. I further agree to indemnify, hold harmless, and defend the Hudsonville Community Fair and the respective officials, agents, servants, representatives, volunteers, employees, and board members from any and all claims for injuries, damages or loss sustained by me or my ward arising out of, connected with, or in any way associated with the activities of the program. In the event of any emergency, I authorize program officials to secure from any licensed hospital; physician and/or medical personnel any treatment deemed necessary of me or my wards immediate care and agree that I will be solely responsible of repayment of any and all medical service rendered.Exhibitor Signature(Required)Date MM slash DD slash YYYY Parent/Legal Guardian SignatureDate MM slash DD slash YYYY Δ
