Plant & Hanging Basket Entry Form

One entry form per person

(You may copy this form)

I understand that the greatest possible care will be taken handling the exhibits, but the Eastern Carolina Agricultural Fair management will not be responsible in case of loss or damage to any food or craft item submitted. Signature_________________________________

Phone # ___________________Date____________

Name: ___________________________________ Division (Check One) Youth [ ] Adult [ ]

{Please print plainly)

Address: ________________________________City: ______________________

State: ____________ Zip Code: _________

(Write a “Y” before the class # if the entrant is in the youth division)

Class #

Category Name

Brief Description

Ticket