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GEORGETOWN FALL FAIR LIVESTOCK ENTRY FORM Exhibitor's Number: Number of Animals Exhibited: Exhibitor's Name: Address: Postal Code: Phone Number: The undersigned proposes to exhibit the following entries according to the rules and regulations of the Georgetown Agricultural Society. Class Section Name of Showperson and/or Animal and Registration Number Birthdate dd/mm/yy Name of Showperson/Driver (If 21 Years of Age or Under) Placing Prize Money Hold Harmless Agreement: shall indemnify and hold harmless the Georgetown Agricultural Society, its members, agents and employees, from and against all claims, demands, losses, costs, damages, actions, suits or proceedings by any third parties that may arise out of, or may attribute to, all operations performed by the exhibitor or anyone forwhose acts he may be held liable, howsoever caused. Signature of Exhibitor Exhibitor Fee Entry Fee Date Other Signature of Witness Page 29 Total Amount Net Prize Money