14th Annual Amateur Homebrew Competition

Official Competition Entry Form

Montgomery County Agricultural Fair


A. BREWERS' INFORMATION
  1. Name(s) ________________________________________________________
  2. Additional Brewers ________________________________________________
  3. Address _________________________________________________________
  4. City ________________________ State ________ Zip____________________
  5. Country ____________________ Phone ( ____ )_________________________
  6. Club Name _______________________________________________________

B. ENTRY INFORMATION

  1. Name of Brew ______________________________________________________
  2. Class (1-28)/Subcategory (print full names) ________________________________
  3. Beer Style (A-G) _____________________________________________________
  4. Special Ingredients ___________________________________________________

Recipe is (check one):____Malt Extract____Malt Extract & Grain___OnlyAll-Grain


C. INGREDIENTS AND PROCEDURES

Number of U.S. Gallons Brewed for this Recipe:_________________

HOPS:
1. Type _________ oz______ %Alpha Acids ________ Use (boil,dry)____________Time ___________
2. Type _________ oz______ %Alpha Acids ________ Use (boil,dry)____________Time ___________
3. Type _________ oz______ %Alpha Acids ________ Use (boil,dry)____________Time ___________
4. Type _________ oz______ %Alpha Acids ________ Use (boil,dry)____________Time ___________
5. Type _________ oz______ %Alpha Acids ________ Use (boil,dry)____________Time ___________

MALT (grain and extract)

1. Type/Brand__________ lbs.______ Use (steep/mash) ___________ Time_________ Temp. _________
2. Type/Brand__________ lbs.______ Use (steep/mash) ___________ Time_________ Temp. _________
3. Type/Brand__________ lbs.______ Use (steep/mash) ___________ Time_________ Temp. _________
4. Type/Brand__________ lbs.______ Use (steep/mash) ___________ Time_________ Temp. _________
5. Type/Brand__________ lbs.______ Use (steep/mash) ___________ Time_________ Temp. _________




WATER TREATMENT: type(s) and amount(s):___________________________________________________
YEAST CULTURE: liquid____dried_____brand and type________________Did you use a starter? Yes No
YEAST NUTRIENTS: type__________________brand____________________amount__________________
CARBONATION: (designate amount and type of sugar and/or use of kegs)_____________________________
BOILING TIME:_________________ SPECIFIC GRAVITIES: original____________final_______________




FERMENTATION:Duration Temp. Type of Fermenter (glass, plastic, etc.)
Primary __________ _____________________________________________
Secondary __________ _____________________________________________
Other __________ _____________________________________________

Date this brew was bottled: ________________________