The following 4-H / FFA member and goat breeder certify that the designated 4-H / FFA project animal was born and raised in Clermont County by a member of the Clermont County Meat Goat Association. We have read, understand and will abide by the rules and regulations governing the born and raised goat show.  An entry fee of $10.00 per animal is required to be paid by the 4-H/FFA member.

Type of Animal		[   ]	market goat

Project Animal Tag No.
Scrapie Tag No.

Breeder Information (To be completed by Breeder)
Name
Address
Phone Number
Signature

Official Clermont County Meat Goat Association (To be completed by CCMGA Representative at tag-in)
Received by
Date
Paid	[   ]  Yes
	[   ]  No