NELSON COUNTY FAIR

PEDAL PULL ENTRY FORM

Child's Name:_____________________________Age:  ______  Weight: _______ lbs.
(Entrants will be weighed at Check-In prior to event.)

Parent Name/s:________________________________________________

Phone: _________________________ _____________________________

I give my child ________________________________________________
permission to participate in the Nelson County Fair Pedal Pull Contest.

 ________________________________   ____________________________
Parent's Signature                                              Date

 NO ENTRY FEE!  All contestants must pay for front gate admission.