- Consent:
Tick this box to indicate that you have read and agree with these conditions - Name of the Handler:
test test
- Gender:
Male
- Date of Birth:
14/04/2022
- Street /PO Box Address:
test
- Town:
test
- State:
SA
- Postcode:
test
- Phone number:
test
- Email:
- Have you previously entered the SAJHE?:
Yes
- If no, have you ever participated in another heifer show, Roundup or major handler competition?:
Yes
- If yes, please indicate which competition(s) you have attended and your level of experience::
test
- Jacket Size:
Mens size XLarge
- Name:
test
- Relation to Entrant:
test
- Live-in?:
Yes
- Name:
test
- Relation to Entrant:
test
- Live-in?:
Yes
- For entrants over 18 years of age, please enter your current SA DHS Working With Children Check SRN:
test
- Entrant/Guardian Declaration:
test
- Entrant/Guardian Declaration:
test
- ANIMAL DETAILS:
Stud heifer
- Name of Animal:
test
- Animal Identifier:
test
- Date of Birth:
14/04/2022
- Breed:
test
- Sire:
test
- Dam:
test
- PIC Number:
1234567890
- JBAS Score:
100
- This animal will depart after the event on Thursday 21st July.:
Yes
- This animal will be staying overnight and departing by 7:00am Friday morning (22nd July).:
Yes
- Name:
test
- Address:
test
- Phone Number:
test
- Email:
- ANIMAL OWNER PUBLIC LIABILITY INSURANCE:
Owner insurance/public liability cover confirmed
- Name of Entrant:
test
- Name of Parent/Guardian if Entrant is Under 18 Years of Age:
test
- In Emergency Please Contact:
test
- Relation to Entrant:
test
- Phone Number:
test
- Name, Address & Phone Number of Family Doctor:
test
- Medicare Number:
test
- Medicare Individual Reference Number:
1,234,567,890
- Allergies (medication, insect bite or food eg nuts)::
Yes
- If yes, please list allergies and any special instructions:
test
- Breathing Disorders (Asthma, etc):
No
- Any Other Medications:
Yes
- If yes, please list medications and any special instructions:
test
- Epilepsy:
Yes
- If yes, please list any further information or special instructions:
test
- Fainting/Dizzy Spells/Or Loss of Consciousness:
No
- Heart Problems:
No
- Blood Pressure Abnormalities:
No
- Any Learning Difficulties:
No
- Any Other Medical Conditions Not Listed Above:
No
- Entrant Name (OR Parent/legal guardian if entrant is under 18 years):
test
- Photo Consent:
I Give
- Name(s):
test
- Contact Number:
test
- Email:
- Please select the area(s) you are able to assist with::
Setting
up Sunday, Setting up Monday, Entrant Supervision/Assistance, Junior
Handler Helper, Help with Demonstrations, Lead Animals for Junior
Judging, Wash Rack Supervision, Stewarding During Judging, Serving
Meals, Meal Preparation, Collection of Money at Mealtime, Mealtime Clean
up, Clean up (Thursday), Clean up (Friday) - Please complete the declaration to agree to the above.:
I agree to the conditions above and I WILL be competing for the SAJHE Senior Champion Herdsperson Award.
- Will not be competing for the SAJHE Senior Champion Herdsperson Award.:
I WILL NOT be competing for the SAJHE Senior Champion Herdsperson Award.
- Are you comfortable with having a junior buddy for the duration of the Expo?:
No
- Register Interest for the SAJHE Stanbroke Award:
I wish to register my interest for the SAJHE Stanbroke award and understand the above eligibility
- Entrant Fee:
Qty: 1, Price: $ 200.00
- Parent / Guardian 1:
Qty: 1, Price: $ 77.00
- Parent / Guardian 2:
Qty: 1, Price: $ 77.00
