AHCAj Heifer Program Donation Entry Form

Deadline: May 1, 2014

REQUIRED INFORMATION:

Name or Farm Name: ______

Address: ______

Phone #: (______)______-______Email (optional):______

HEIFER INFORMATION:

Provided you are chosen to donate the heifer this year, please answer to the best of your ability. This information is optional; however any additional information may help in the selection process.

Heifer’s Birth Date: ______Heifer’s Color: ______

Dam’s Name: ______Dam’s Birth Date: ______

Any awards or background for Dam (examples: Dam is an AHCA Impact Dam or an AHCA Elite Impact Dam; other awards won by Dam or Dam’s offspring): ______

Sire’s Name: ______Sire’s Birth Date: ______

Any awards or background information for Sire (examples: Sire is an AHCA Impact Sire; other awards won by Sire or Sire’s offspring): ______

QUESTIONS:

1.  If your heifer was selected, would you be willing to help in delivering the heifer to the winning junior member or be willing to meet another member part way if there is a considerable distance between farms? ______

2.  Would you be willing to have a committee member call you to ask questions about the animal and possibly come see the animal prior to the selection? ______

3.  Would you be willing to provide your vet contact information or provide vaccination records for this animal? ______

4.  If your heifer was selected, would you be willing to be a contact for the winning junior member if they need to ask questions or needed guidance along the way with raising their new heifer? ______

5.  If your heifer was selected, would you be willing to halter break this animal so it is as ‘kid safe’ as possible and ready to be worked with by the junior? ______

6.  If your heifer was not selected for this year, would you like to be considered as a possible donor in future years? ______

Any additional comments about the program or why you would like to donate (optional): ______

If possible, please submit any pictures of the heifer and/or the heifer’s sire or dam along with this form to the following address:

AHCA

Attn: National Junior Committee

Historic City Hall

22 S. 4th Ave., Ste. 201

Brighton, CO 80601-2030

(303) 659-2399