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Email: wvpcla@gmail.com
wvpcla@gmail.com
Phone: 3043291391
3043291391
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Youth Consignment Form Registration
2025 Youth Consignment Form
Exhibitor Name
First
Last
Parent's Phone #
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Exhibitor's Birthdate
MM slash DD slash YYYY
Parent's Email
School & Current Grade
4-H Club Name
FFA Advisor Name
I wish to consign the following
Circle the number above for each animal(s) you are consigning. You may consign only one (1) steer or two (2) hogs or two (2) lambs or two (2) goats or a combination of hog/lamb/goat with the combination not to exceed two animals.
1 Steer
1 Hog
2 Hogs
1 Lamb
2 Lambs
1 Goat
2 Goats
We, the exhibitor and parent/guardian, have read the 2024-25 Preston County Livestock Association Youth Market Show and Sale Animal Rules and Bylaws and agree to follow them.
Check one
Market Steer Rules
Market Hog, Lamb, and Goat Rules
Liability Statement
(Required)
A parent/guardian of an underage consignor shall execute the consignment form provided by PCLA. A consigner who is of age to sign for themselves shall provide proof of age to the Board of Directors at the time of consignment. Any unpaid debt from the PCLA Sponsored Youth Livestock Sale up to 5% of the most recent annual gross sale shall be paid by PCLA until it is collected from the buyer(s). The Board of Directors may adjust this percentage if unforeseen circumstances outside of the control of the Board of Directors justify such action. The Board of Directors may establish exceptions to this rule if PCLA’s financial circumstances allow said action and two-thirds (2/3) of the directors vote in favor of adjustment.
I agree to the liability statement.
Code Of Conduct
(Required)
1. The purpose of the Preston County Livestock Association shall be operated as a nonprofit organization and shall be operated exclusively for agricultural purposes within the meaning of Section 501 (c)(5) of the Internal Revenue Code, or the corresponding section of any future Federal tax code. PCLA seeks to work to educate local youth in agriculture and generally promote agriculture. PCLA seeks to work in conjunction with local 4-H and FFA groups to ensure that the junior membership of PCLA has an annual youth show and sale for their consigned market livestock projects. We believe in creating a safe environment that encourages educating youth in agriculture. All PCLA members participating in or
attending events, meetings, activities, livestock shows, or sales sponsored by PCLA, are required to conduct themselves according to the current PCLA Bylaws, Rules and PCLA Member Code of Conduct and future modifications or amendments to the PCLA’s Member Code of Conduct.
2. I am aware that my actions and decisions affect me and others. I acknowledge that I have been given a copy of the PCLA Member Code of
Conduct. I agree to conduct myself in accordance with the PCLA Member Code of Conduct at all times. I understand that my failure to do so may result in the loss of privileges during PCLA events, meetings, activities, livestock shows or sales including involvement in future PCLA events, meetings, activities, livestock shows or sales. My signature below demonstrates my agreement to abide by the PCLA Members Code of Conduct, as well as any code of conduct established for a specific PCLA event I attend.
I have read, reviewed and discussed the current PCLA Member Code of Conduct with my child. I understand that my child will be expected to conduct himself/ herself in accordance with the current PCLA Member Code of Conduct and any future modifications or amendments at all times, and that failure to do so may result in the consequences stated in paragraph 2 above. I also understand that coordinators of PCLA events, livestock shows, sales or any other meetings, often establish specific expectations, guidelines, and consequences, and should my child choose to participate in these events, he/ she will be expected to review the rules and expectations for each event and follow them accordingly.
COVID-19 Coronavirus Release Waiver
(Required)
The novel coronavirus, Covid-19, has been declared a worldwide pandemic by the World Health Organization. Covid-19 is extremely contagious and is believed to spread from person-to-
person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing. The Preston County Livestock Association (PCLA), PCLA officers, board of directors, members, volunteers, and other attendees cannot guarantee that you (exhibitor/parent/guardian/spectator/buyer) will not become infected with Covid-19. Further, attending any event hosted by the Preston County Livestock Association during the 2024-2025 year could increase your risk of exposure of contracting Covid-19. By signing this agreement, I acknowledge the contagious nature of Covid-19 and voluntarily assume the risk that I (exhibitor/parent/guardian/spectator) may be exposed to or infected by Covid-
19 by attending any event and/or meeting of the Preston County Livestock Association and that such exposure or infection may result from the actions, omissions, or negligence of myself and others, including but not limited to, committee members, volunteers, and program participants and their families. I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury to myself
(exhibitor/parent/guardian/spectator) including but not limited to personal injury, illness,
disability, death, loss, claim, liability, or expense, of any kind, that I (exhibitor/parent/guardian/spectator) may experience or incur in connection with my attendance and/or participation at the Preston County Livestock Association event. On behalf
of myself (exhibitor/parent/guardian/spectator), I hereby release, covenant not to sue, discharge, and hold harmless the Preston County Livestock Association, PCLA officers, board of directors, members, volunteers, and other attendees, of and from the Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Preston County Livestock Association, PCLA officers, board of directors, members, volunteers, and other attendees,
whether a Covid-19 infection occurs before, during, or after participation in the Preston County Livestock Association event.
I agree to the COVID-19 Coronavirus Release Waiver.
Authorization for Photo Release
This authorization is to include the following: newspaper, print, internet, public
media, social media, social networking, etc.
The Preston County Livestock Association (PCLA) may, as in any other public media systems,
publish news type information and pictures such as group shots, distance shots, action shots, and/or
pictures from the side or back of youth members along with youth members’ first names. However,
the PCLA will not take easily identifiable head and shoulders shots of your child and use their full
names without the parent’s consent. You may grant consent for the latter type of pictures and names
to appear on the PCLA’s website or social media sites by answering the two following questions with
a yes. The Preston County Livestock Association may also share your son/daughter’s achievements
throughout the year in the local newspapers and other printed media. Please answer the questions
below for approval.
*Please note that if your child earns grand champion, reserve champion, grand county bred, or
reserve county bred awards their photos will be in the Buckwheat Festival/Official publications.
I agree to the photo authorization
The Preston County Livestock Association has my permission as parent/guardian to include my son/daughter’s head and shoulder or other pictures on their website, social media sites, printed media, newspapers, etc. as they deem appropriate.
The Preston County Livestock Association has my permission as parent/guardian to include my son/daughter’s head and shoulder or other pictures on their website, social media sites, printed media, newspapers, etc. as they deem appropriate.
Yes
No
The Preston County Livestock Association has my permission as parent/guardian to include my son/daughter’s full name on their website, social media sites, printed media, newspapers, etc. as they deem appropriate.
The Preston County Livestock Association has my permission as parent/guardian to include my son/daughter’s full name on their website, social media sites, printed media, newspapers, etc. as they deem appropriate.
Yes
No
Digital Signature For Youth Member
First
Last
Date
MM slash DD slash YYYY
Digital Signature Of Parent/Guardian Of Youth Member
First
Last
Date
MM slash DD slash YYYY
Digital Signature Confirmation
(Required)
I have typed my name and the date above as confirmation of my digital signature for this form.
4-H Membership Verified
Yes
FFA Membership Verified
Yes
Choose The Preferred Size of Exhibitor
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
PCLA can communicate PCLA information via text message
Yes
No
Parent's Phone #
Membership Fee
Price:
Credit Card
Cardholder Name
Card Details
Untitled
First Choice
Second Choice
Third Choice
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