Illinois Holstein Championship Show Entry Form
Please fill out the form below and select your payment method to enter in the Illinois Holstein Championship Show.
Entry Fees: $20/head prior to July 10; $25/head after July 10; no entry fee for group classes
Questions about filling out this form?
Contact Stephanie Hammerly, Editor (608) 732-2757 or email briardesigns@gmail.com
Owner Name(s) *
Your answer
Farm Name
Your answer
City *
Your answer
Email *
Your answer
Phone number *
Your answer
District Holstein Club
Your answer
Entry Fees *
Class # *
Registration Name *
Your answer
Registration # *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Production Record (305d records & CFP only for Junior 3 Year Old and older classes) **sample: 2-00 2x 305 20,000 1500**
Your answer
Sire (Full Name) *
Your answer
Dam (Full Name) *
Your answer
Entry Type (check all that apply) *
Required
Payment Method *
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