Wheat Yield Contest On-Line Entry – South Dakota Wheat Growers Association

Individual(Required)

First Last

Farm Operation Name

I wish to enter as:(Required)

Individual Name

Farm Operation Name

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Fees: (1st entry is free, each additional entry is $10.00)(Required)

First Entry

Additional Entry Fee

SD Wheat Growers Association Membership ($100.00)

SD Wheat Growers Assoociation Membership

Total

Seed treatments - Insecticide and Fungicide (Enter Product Name, Rate/Acre-Amount, How Applied and When Applied.)(Required)

Herbicides (Enter Product Name, Rate/Acre-Amount, How Applied and When Applied.)(Required)

Insecticides (Enter Product Name, Rate/Acre-Amount, How Applied and When Applied.)(Required)

Fungicides (Enter Product Name, Rate/Acre-Amount, How Applied and When Applied.)(Required)

Fertilizer (Enter Product Name, Rate/Acre-Amount, How Applied and When Applied.)(Required)

In the space below, please identify and provide the information for the primary supervisor. Please refer to the rules and regulations section for supervisor guidelines.(Required)

Name of Primary Supervisor Employed By Job Title/Occupation

Primary Supervisor Contact Information(Required)

Business Address City ZIP Code

Primary Supervisor Phone(Required)

In the space below, please identify and provide the information for the alternate supervisor. Please refer to the rules and regulations section for supervisor guidelines.(Required)

Name of Alternate Supervisor Employed By Job Title/Occupation

Alternate Supervisor Contact Information(Required)

Business Address City ZIP Code

Alternate Supervisor Phone(Required)

Acknowledgement of Confirmation.

A printed confirmation of your entry along with the harvest entry form will be mailed to you prior to June 15th.

SD Wheat Growers Association Notice (click to accept).(Required)

SD Wheat Growers Association reserves the right to view and or inspect, with prior notice, any variety entered at any time. SDWGA also reserves the right to disqualify any entry in violation of the stated contest rules and regulations. Winners will be announced at the Ag Horizons Conference November 29-30, 2022.

Entrant Agreement (click to accept).(Required)

I hereby certify the above information given on this entire application to be accurate and true to the best of my knowledge and agree that all the information provided by me pursuant to this contest shall be the property of the SD Wheat Growers Association and can be used and distributed at the sole discretion of the SDWGA.

Signature of Entrant - Enter name below for signature of this application(Required)

2023 Wheat Yield Contest On-Line Application