Cattle Entry Form

ABN: 65 861 621 504
Office Use Only
Cattle Entry Form
Paid
Served by ………….………
To the Secretary,
Subject to the Rules, By-Laws, Regulations of the above Society, I wish to make
the following entries for the forthcoming Show.
Exh No
Office Use
Only
Sect
No
Class
No
Name of Animal
Carded 
Herd
Book No
Receipt No. ………….………
Data Input by ………….……
DOB
Breed
Entry
Fee
Total Entry Fees Payable
Please provide your waybill to the Stewards
Mr/Mrs/Miss/Ms
Exhibitor Details
Name …………….……………………………………..………..………….
Are you registered for GST?
Yes
No

Postal address …………………………………….…..……….….….……
If yes, please provide your ABN.
…………………………………………………….……………...…….…….
__________________________________
Town………………………... State…….…….. Postcode…..…...……
Phone No…………………….….… Mob …..……………..………………
Email ………..……………...…….…………………………………………

Prizemoney not collected by 30th
September will be deemed a donation
to the Show Society.
Please take full payment from credit card: __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __
Expiry __ __ / __ __
I hereby certify that my Entries are my bona fide property and that I have read the Show Rules and the
Conditions of Entry and agree to be bound thereby. I have provided a copy of certification that all livestock
entered on this form are guaranteed free of ticks & any notifiable or dangerous diseases.
Owner’s Signature……………………………..………………… Date……………………………………...………
Please turn over & provide Insurance information or sign the
Dangerous Activity Acknowledgement
Telephone (07) 4091 4260
Email: athertonshow@westnet.com.au
Web: www.athertonshow.com.au
It will be necessary for any persons competing or exhibiting at the Atherton Show to show proof of their Public
Liability Insurance or to sign the Dangerous Activity Acknowledgement.
A valid Certificate of Currency must be provided showing that you hold a policy which covers you for a
minimum of $10 Million and that you are covered anywhere in Australia. Please speak to your insurance
provider to ensure this is included.


I have attached my Certificate of Currency. Please do not tick this box unless the Certificate is attached.
I will sign the Dangerous Activity Acknowledgement below.
Dangerous Activity Acknowledgement
Participant Details
Mr/Mrs/Miss/Ms
Full Name
……….…………………………………….………..…………………………………..
If under 18 years
Guardian's Full Name
...…………………………….....………..………………………………..
In consideration for being permitted to participate in any way in cattle handling activities, I, the undersigned,
understand, acknowledge and accept:
•
•
•
That cattle handling is a dangerous activity and cattle can act in a sudden and unpredictable (changeable)
way, especially if frightened or hurt.
That there is a significant risk that serious injury or death may result from cattle handling activities.
The dangers associated with the consumption of alcohol or any mind altering drugs and agree not to drink
alcohol or take drugs prohibited by law before or during any cattle handling activities.
I agree to follow the directions of any event organiser or official and that any misconduct or refusal by me to
follow any direction of any organiser or official can result in the cancellation of my participation in the activities
and my immediate removal from the Arena or the Showgrounds no matter where that may occur.
I agree to take all appropriate safety measures at all times whilst participating in the activities.
I agree to indemnify the Atherton Tableland Agricultural Society Inc, against Liability for any accident,
damage, loss or illness caused to anyone, including but not limited to myself or my property, or a member of the
public during any part of the event, including but not limited to preparation, competition, judging, performing
or displaying.
I have had sufficient opportunity to read this Dangerous Activity Acknowledgement and fully understand its
terms and sign it freely and voluntarily.
Signature of participant …………………..……………………………………… Date………………………………...……
For Participants of Minority Age (Under Age 18)
This is to certify that I, as a parent/guardian with legal responsibility for this participant, acknowledge,
understand and accept all of the above and consent and agree to my minor child's involvement or participation
in cattle handling activities.
Signature of guardian ………………..…………………………………… Date……………………………………...……
Telephone (07) 4091 4260
Email: athertonshow@westnet.com.au
Web: www.athertonshow.com.au