2024 WSA State Simmental Show Entry Form -Sunday May 12, 2024
Step one: Fill out contact information.
Step two: Go to section two fill out animal information.(Multiple sections are available. If you don't need all the sections simply click through to the end and submit. If you need more, submit one form then start another.)
Step three: Send entry fee to Emily Mueller W1580 State Hwy 156, Pulaski, WI 54162 (checks payable to "WSA")
or Venmo: @Emily-Mueller1219 with subject "WSA State Show Entries"
Call/Text Emily 920-536-1219 or email ekimball15@gmail.com with any questions.

Entry Fees: $30.00/head on or before May 3, 2024
$40/head after May 3, 2024
$5.00/Showmanship Entry-*HIGHLY ENCOURAGED
All entry fees are non-refundable.

Location: Waushara County Fairgrounds   Wautoma, WI

Out-of-State exhibitors are required to have health papers.

Exhibitor eligibility: Open to anyone wishing to participate as long as a paid WJSA/WSA member, membership forms available at check in.



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Email *
Exhibitor Name  (one form per exhibitor) Last Name, First Name *
Exhibitor Phone Number  *
Address *
City, State, Zip *
Showmanship (Age as of Jan 1st, 2024 ( thru 21 years of age) *
Entry 1 *
Entry 1 Breed *
Entry # 1 DOB  *
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Entry 1 Registration Number 
Entry 2
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Entry 2 Breed
Clear selection
Entry 2 DOB 
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Entry 2 Registration Number 
Entry 3
Clear selection
Entry 3 Breed
Clear selection
Entry 3 DOB 
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Entry 3 Registration Number 
Entry 4
Clear selection
Entry 4 Breed
Clear selection
Entry 4 DOB 
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Entry 4 Registration Number 
I agree to submit full payment upon completion of the entry form of: $30/animal pre-entry fee plus showmanship costs at $5/person. Online entry form must be submitted by 11:59 pm May 3, 2024 to receive pre-entry price. If received after said time and date you will be subject to late entry fee of $40/animal. You should receive an email confirmation of this entry (check your spam folder). *
Liability Waiver Agreement for Assumption of Risk, Indemnification and Release for the above named exhibitor CONSIDERATION OF MY VOLUNTARY PARTICIPATION IN the WSA State Simmental Show, sponsored by the WSA and the Waushara County Parks Committee, I UNDERSTAND THAT I AM BEING ASKED TO CAREFULLY READ EACH OF THE FOLLOWING PARAGRAPHS. I UNDERSTAND THAT IF I WISH TO DISCUSS ANY OF THE TERMS CONTAINED IN THIS AGREEMENT.
 *
Assumption of Risks: I understand that activities related to the WSA State Simmental Show, by its very nature, carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. Specifically, this event may expose me to various risks of handling cattle, including: 1) Minor injuries such as scratches, bruises, and sprains2) To major injuries such as fractures, internal injuries, joint or back injuries, heart attacks, and concussions 3) To catastrophic injuries including paralysis and even death. I understand that the WSA, Waushara County Parks Committee, Waushara County, and State of Wisconsin do not provide health and accident insurance. I understand and appreciate the risks that are inherent in the above-listed activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.
 *
Hold Harmless, Indemnity and Release: In consideration of permission for my voluntary participation in WSA State Simmental Show, on May 11th & 12th  2024, I, for myself, my heirs, personal representatives or assigns, agree to defend, hold harmless, indemnify and release, the State of  Wisconsin, County of Waushara, their officers, employees, agents, and volunteers, from and against any sort on account of damage to personal property (including my cattle), personal injury, or death which may result from my participation in the above-listed activity. This release includes claims based on the negligence of the State of Wisconsin, County of Waushara, and its officers, employees, agents, and volunteers, but expressly does not include claims based on their intentional misconduct or gross negligence. I understand that by agreeing to this clause I am releasing claims and giving up substantial rights, including my right to sue.
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I understand that I will send check payable to “WSA” in the amount of $30/head, $5/ showmanship to: 
Emily Mueller - WSA Secretary
W1580 State Hwy 156
Pulaski, WI 54162

or Send Venmo Payment to -  @Emily-Mueller1219 with subject "WSA State Show Entries"
 *
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A copy of your responses will be emailed to the address you provided.
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