Enrollment Form The $25 registration fee is included with your registration and covers an entire family. Web Site Registrants Registrant 1 First Name * Last Name * Birthdate * Registrant 2 First Name Last Name Birthdate Registrant 3 First Name Last Name Birthdate Registrant 4 First Name Last Name Birthdate Contact Information Contact First Name * Contact Last Name * Address 1 * Address 2 City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Contact Phone * Contact Email * Tags Tags will be mailed to you as soon as payment is received. Tags must remain in pig’s ear through the entire circuit. Replacement tags can be purchased if original is lost. Number of tags needed ($10/tag) * Cost of Tags $ Total Total: $ Includes $25 registration fee and tag fees.