Deadline to 4-H Office: June 30(4:30 pm)
2016 Adams County 4-H Fair Registration Form
The Fair Registration Form is due in the U of I Extension Office in Quincy by June 30, 2016. Please use one
form per 4-H member.
Mailing Address: U of I Extension – Unit 14 – Quincy Office
330 S 36th St
Quincy, IL 62301
Fax:
217-223-9368
Name __________________________________ 4-H Club______________________________
Age as of Sept. 1, 2015______________Parent Signature_______________________________
Please Print Class Numbers and Descriptions are found in the 4-H Fairbook
Class
Number
Class Description
Stall Request
# of Beef__________
# of Dairy_________
Each family receives 2 stalls for tack
Quantity
Pen & Cage Request (allow 1 pen for feed and tack)
# of Goats __________# of Pens __________
# of Poultry__________# of Cages__________
# of Sheep __________# of Pens __________
# of Swine __________# of Pens __________
# of Rabbits __________# of Cages__________/# Open Show Cages Needed____________
DEADLINE: June 30 (4:30 pm)
Class
Number
Class Description
University of Illinois – Department of Agriculture – Local Extension Councils Cooperating
University of Illinois Extension provides equal opportunities in programs and employment.
If you need a reasonable accommodation to participate in this program contact the U of I
Extension Office at 217-223-8380 by July 1.
Quantity