July 1 – Deadline to turn in Pen Assignment Sheet to Extension Office
Premise ID_______________
2011 CRAWFORD COUNTY 4-H SHOW
POULTRY
4-H’ers Name _________________________4-H’ers Birth Date_________
Address__________________________Town______________Zip________
Home Telephone__________________Cell Phone______________________
Parent’s Name _________________________________________________
(VERY IMPORTANT: PRINT name(s) as you wish them to appear in Livestock Sale Book)
4-H Club__________________________
My animal(s) will be stalled and taken care of at (circle one choice below)
my house grandparent’s uncle/aunt’s other relative (please specify)_________
Relative’s Name_____________Address_________________Town__________
Class Number
(Example: LP3)
Exhibit Class Name
(Example: (Adult Trio)
List number of pens needed for animals ___ List number of your own pens you will bring ______
I will be exhibiting_______ birds at the 2011 Crawford County 4-H Fair.
(Superintendent reserves right to assign pens as necessary.)
I (we) hereby certify the above-identified and described animals(s) are owned and being fed by
me (us) in accordance with the rules and regulations of the Crawford County 4-H exhibit
requirements. Violation of exhibition rule can lead to exclusion from participation in 4-H shows
for the animal(s) and exhibitor(s).
Signature of 4-H Member
Signature of Parent
Date
Class Number
Exhibit Class Name