Medical Release Form

In case of emergency please contact:

Cell Phone:

Address:

Address 2:

City:

State:

Country:

Zip:

If not available please notify:

Cell Phone:

Address:

Address 2:

City:

State:

Country:

Zip:

Please list any medication participant is allergic to:

List any existing medical conditions:

List any medications participant is taking:

List any other existing condition, medical or otherwise, the staff should be aware of:

Do you allow Association staff to give your child over-the-counter medication?

Yes No

If yes, please list:

Code of Conduct

I have read the NJAA Code of Conduct and agree to the terms set forth by the National Junior Angus Association. See Code of Conduct here.*

In accordance to Rule #IV-2, It is clearly understood and agreed that the American Angus Association and its officials, officers, directors, employees, and agents shall not be responsible for any damage, loss or injury to any person or property which is caused directly or indirectly for any reason. The participant will have full control, custody, care and feeding of any animal(s) and/or personal property, which are brought on or about the premises of the site of the national, regional, and regional preview junior Angus shows. I have read and understand all NJAA Show Rules, and the show specific rules and regulations as found on the NJAA website. I certify all of the information is true to the best of my knowledge and entries comply with all aforementioned rules and regulations.

By checking this box I am acknowledging agreement with the paragraph above.*

Payment Information

Billing Information

Name:

Address:

City:

State/Province:

Postal Code:

Country:

Phone:

Email:

Credit Card Information

Type:

Card Number:

Expiration Date:

Name as it appears on card:

Card Identification Number:

Last 3 or 4 digits on back of card.

Enter Show Animals

Select entry type. After the registration number is entered, press tab and the rest of the information should automatically fill in.
- Steer — Steers may only enter in the junior show. We do not allow steers to exhibit in the open show.
- Bred and Owned Bull — Must be a bred and owned bull to compete in the junior show. If entering in the open show, you will also select this category to enter a ‘bull’.
- Bred and Owned Heifer — Classified as being the breeder, first owner and continuous owner. These animals will show only in the bred and owned division of the junior show. There is no bred and owned division in the open show. All heifers will show together.
- Owned Cow/Calf — Use this category to enter a cow/calf pair in both the open and junior show.
- Heifer Owned — If you are not the breeder and first owner of the animal, select this option to enter in the junior show. If entering in the open show, you will select this category to enter a ‘heifer’.
Once animal information is filled out, “Save Animal Info”. You must save animal info even if only one animal will be entered.
An instructional video on properly submitting online entries can be found here .
"PENDING" or "APPLIED FOR" will not, under any circumstances, be accepted online in the registration column on the entry form. You must have a registration number before completing your online entry form.

Cost of entry

Open Show Only	$70
Junior Show Only	$40
Junior and Open	$70

Cow/Calf Open Show Only	$120
Cow/Calf Junior Show Only	$55
Cow/Calf Junior and Open	$120

Entry	Reg. No.	Delete	Birth Date	Sex	Name of Animal	Tattoo	Reg. No. of Dam	Entry Fee
Total Entry fees:								$0.00

Entry Type

Select One

Junior Junior and Open

Reg. No.

EID

Birth Date *

EID tags are small "button-like" tags that are placed in the ear. Each EID tag has a unique 15-digit number printed on it, and can also be read by scanning the tag with an EID reader.

Sex *

Name of Animal

Breeder

First Owner

Tattoo

Reg. No. of Dam

* If entering the calf from a cow/calf pair in its own class, you must enter the calf separately and pay an additional entry fee for that animal. Check specific show rules for age requirement on if calf can be shown in separate class.

Group Classes (Open Show Only)

Entry Fee of $50.00
Check rules for further details.

name of animal or individuals recognized

1.) How many Get of Sire Entries will you have?

2.) How many Junior Get of Sire entries will you have?

3.) How many Breeders Best Six Head entries will you have?

4.) How many Produce of Dam entries will you have?

5.) How many Calf Get of Sire entries will you have?

Support and Donation Opportunities for Atlantic National

On behalf of the Atlantic National Board of Directors along with all exhibitors, we say thank you for your generous support of the Atlantic National ROV Angus and Junior Preview Angus Shows.
When selecting a Sponsorship, check the box next to one or more sponsorship types and enter an amount.
Any combination of sponsorships, ads, AN Club, donations, etc with a combined total of $1000 or more will qualify you for a banner around the show ring. Items purchased at this year’s auction will qualify for next year’s show.

Sponsorship Types

Class Sponsorship - $100

$ Enter an amount in increments of 100

Reserve Division Sponsorship - $200

$ Enter an amount in increments of 200

Champion Division Sponsorship - $300

$ Enter an amount in increments of 300

Reserve Champion Sponsorship - $400

$ Enter an amount in increments of 400

Champion Sponsorship - $500

$ Enter an amount in increments of 500

Sponsorship Recognition:

Class Sponsorship - includes listing in the show program
Reserve Division Sponsorship - includes listing in show program
Champion Division Sponsorship - includes listing in show program
Reserve Champion Sponsorship - includes listing in show program,
picture with winner and 2 social tickets
Champion Sponsorship - includes listing in show program,
picture with winner, 4 social tickets and sponsor banner

Show Program Recognition

Show Program Recognition:

Full Page, 4 Color - includes show program, class sponsor, banner and 2 social tickets
Full Page, B&W - includes show program, class sponsor, and 2 social tickets
Half Page, B&W - horizontal 7 5/8" x 4 5/8" or vertical 5" x 7"
Quarter Page, B&W - 3 3/4" x 5"

Atlantic National Club

2 social tickets, show program, class sponsorship and listing in program.

Agreement:
It is understood and agreed that the Atlantic National Angus Foundation, Inc shall not be responsible for any damage, loss or injury to person or property which is caused by reason, neglect or willful act of any person/firm/corporation, or their agents, representatives, servants, or employees having license of privilege to attend, exhibit or occupy any space on the Montgomery County Fairgrounds. The Atlantic National Angus Foundation, Inc shall in no manner be responsible or liable, therefore and in case it is subjected to any expense or liability, all persons causing same or liable shall indemnify the Atlantic National Angus Foundation, Inc.

I have read and understood the statement:*

Atlantic National Junior Show Online Entry Form

NJAA Online Entry Form Instructions

Exhibitor Information

Medical Release Form

Code of Conduct

Payment Information

Billing Information

Credit Card Information

Enter Show Animals

Group Classes (Open Show Only)

Support and Donation Opportunities for Atlantic National