CDC Futurity Placings Submission Form

Futurity Placings Submission Form
Exhibitor Name

First NameLast Name
Email
example@example.com
Show Name
Show Location
Show Date

MonthDayYear
Date
Show Type
Check here if this was a CDC Regional Junior Show:
Animal 1
Animal 1 Division
Animal 1 Flock Name & Number
Animal 1 CDC Registration Number
Animal 1 Scrapie ID#
Animal 1 Placing:
Number of animals in class:
Do you have another animal to include on this form (same show & date)?
Animal 2
Animal 2 Division
Animal 2 Flock Name & Number
Animal 2 CDC Registration Number
Animal 2 Scrapie ID#
Animal 2 Placing:
Number of animals in class:
Do you have another animal to include on this form (same show & date)?
Animal 3
Animal 3 Division
Animal 3 Flock Name & Number
Animal 3 CDC Registration Number
Animal 3 Scrapie ID#
Animal 3 Placing:
Number of animals in class:
Do you have another animal to include on this form (same show & date)?
Animal 4
Animal 4 Division
Animal 4 Flock Name & Number
Animal 4 CDC Registration Number
Animal 4 Scrapie ID#
Animal 4 Placing:
Number of animals in class:
Show Superintendent Name

First NameLast Name
Show Superintendent Phone or Email
Show Superintendent Signature
By submitting this form, I acknowledge that the CDC may contact show officials to verify the placings as they have been reported.

Form must be submitted within 21 days of the show.
Should be Empty:

Futurity Placings Submission Form