Freedom Ag & Energy | Show Program Award Application Form

Show Program Award Application

This form is only for Grand Champion and Reserve Champion Winnings only. You can apply for only 1 Grand champion and only 1 Reserve champion winning in a years time. Please fill out a separate form for each winning. Thank you for making our show program successful.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Show*
MMDDYYYY
Species*
Horse, Cow, Goat, Pig, Lamb, etc.
Breed*
Angus, Quarter Horse, Dartmoor, Boer, Hampshire, etc.
Sex of Animal*

MaleFemale
Class of Division Won*
Grand or Reserve Winners | List Your Jacket Size*
Please explain how you want the embroidery on your jacket*
Example: Name, Award Won, Year & Show Name
Feed You Fed*
Supplements You Used*
Permission to Use Your Winner Photo on Social Media and Advertising for the Co-Op.*

YesNo
If you marked YES, please include your picture with this form or email to: katlyn.cook@freedomagandenergy.com
Please verify that you are human*
Should be Empty: