Market Animal Care and Wellness Compliance Exhibitor Name(Required) First Last Club or Chapter Name(Required)Species(Required)Select...BeefBroilersMeat GoatSheepSwineAnimal Tag ID(Required)This is the number on the tag issued to you by the Canyon County FairBreeder NameBreeder State of ResidenceCountry of Origin Labeling (COOL) AffidavitYes, of U.S. originNo, not of U.S. originAs an affidavit is deemed by USDA as an official record of Country of Origin, I attest through first-hand knowledge, normal business records, or producer affidavit(s) that all livestock referenced by this document or other communications specific to the transaction and transferred are of U.S. origin (born and raised in the U.S.)If no, please list country of originFeed Compliance The undersigned certifies to the best of his/her knowledge all animals offered for sale through the Canyon County Market Livestock Sale have not been adulterated within the meaning of the General Food, Drug and Cosmetic Act. The undersigned agrees, to be in full compliance to Title 221 CFR 589.2000. Specifically, none of his/her animals have been fed any feed containing ruminant derived meat and bone meal. Pharmaceutical / Biological Withdrawal The undersigned certifies to the best of his/her knowledge all animals offered for sale through the Canyon County Market Livestock Sale meet the withdrawal requirements according to the FDA and have been handled in a manner to prevent a pharmaceutical or biological residue violation. Agricultural chemicals used for herd health management and production of feedstuffs have also been used in compliance with label instructions and withdrawal.Exhibitor Signature (type)(Required)I understand that typing my name constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided above.Parent Signature (type)(Required)I understand that typing my name constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided above.
