4-H Horse & Pony Ownership Papers
How to fill out and submit paperwork:
A. If the 4-H exhibitor owns the horse, and it is registered in the 4-H
exhibitor’s name, please submit:
1. A copy of the horse registration paperwork
2. Two color photos (one of the left side, one of the right side) of the horse
3. Assumption of Risk Form
B. If the 4-H exhibitor owns the horse, and it is not registered, please submit:
1. 4-H Certificate of Ownership (page 2)
2. Two color photos (one of the left side, one of the right side) of the horse
3. Assumption of Risk Form
C. If the 4-H exhibitor does not own the horse, or it is registered in another
family member’s name, please submit:
1. 4-H Horse Lease (page 3)
2. Two color photos (one of the left side, one of the right side) of the horse
3. Assumption of Risk Form
Digital and film photos are acceptable. Photos may be printed on a personal
computer as long as the horse (including coat color) is clearly visible in the photo.
Photos may also be emailed to Sue at sbrooker@illinois.edu they can be printed at
the Extension office. 4-Hers may submit paperwork for as many horses as they
wish, but may only show two horses, plus a third in the weanlings/yearlings class.
4-Hers are encouraged to submit paperwork for any horse they might exhibit, in
case one or more of their animals is not able to come to the fair. All paperwork is
due to the Extension office no later than May 9.
All exhibitors are reminded to complete the Quality Assurance and Ethics
Training by June 9 if they have not done so in a previous year. The training is
located at http://web.extension.illinois.edu/qaec/
Additional copies of all horse paperwork and instructions are available on our website at
http://web.extension.illinois.edu/blmp/bureau4hshow/3400.html
Please use this form if the 4-H exhibitor owns the horse, but it is not registered. If it is registered in the
4-H exhibitor’s name, please submit a copy of the registration paperwork (and photos) instead of this
form. If it is registered in a parent/guardian’s, sibling’s, or other person’s name, please submit a lease
(next page) instead of this form.
ILLINOIS 4-H CERTIFICATE OF OWNERSHIP
(To be used only with non-registered horses.)
I certify that I own the horse described below and plan to exhibit said horse at the Bureau
County 4-H Fair and/or the Illinois State Junior Horse Show.
Signature of 4-H Member
I certify that the above statement is correct.
Signature of Parent/Guardian
(If member is under 18 years of age.)
Name of Horse:
Description of Horse:
Color
Height
Markings
Attach Two Photo(s) of Horse: (One photo per side.)
Revised 2/01
Additional copies of all horse paperwork and instructions are available on our website at
http://web.extension.illinois.edu/blmp/bureau4hshow/3400.html
Please use this form if the 4-H exhibitor does not own the horse, or the horse is registered in another
person’s name. A lease must be submitted if the horse is registered in a parent/guardian or sibling’s
name.
Illinois 4-H Horse Lease
This Agreement is entered into between _______________________
(Owner) and
(4-H member) regarding the horse known as ______
. The term of this lease is from
to August 31st of the current 4-H year. The express purpose
of this lease is for training and exhibition at 4-H functions. Lessee agrees that while the horse is in his/her
possession to keep the horse properly housed, fed and groomed and to maintain any veterinary care that is
needed. Lessee and his/her parents/guardians assume full responsibility for the conduct and behavior of this
animal. Lessee shall also see that any training is done humanely and in the manner of good sportsmanship. If
medical care should exceed $
, both parties will meet and discuss the responsibility of further care.
Should the horse die of natural causes and be examined by a veterinarian who verifies this fact, all parties will
be held harmless. If the horse dies from negligence, the Lessee is held responsible for the full replacement value
of the horse. Both parties agree that if the contents of this agreement are not upheld, the horse will be returned
immediately to the Lessor. The horse is leased for the amount of $
(not less that $1.00), thereby making
this contract legal and binding.
Owner’s Signature (Lessor)
4-H Member’s Signature (Lessee)
4-H Member’s Parents/Guardians Signature
Date
Attach Two Photo(s) of Horse: (One photo per side)
11/2008
Additional copies of all horse paperwork and instructions are available on our website at
http://web.extension.illinois.edu/blmp/bureau4hshow/3400.html
2016 Illinois State Junior Horse Show
Information Form
The Illinois State Junior Horse Show will take place July 24-31 at the Illinois State Fairgrounds in Springfield.
All 4-H members age 8 and older as of September 1, 2015 are invited to participate. There is no county
selection process, but exhibitors must register for the show by June 1.
Please indicate below if you would like more information about this event:
4-H Member’s Name: _____________________________________________________________
_____ I am interested in the Illinois State Junior Horse Show. Please send me more information
and an entry form (will be available in May). Entry deadline to the State Office is June 1.
_____ I will not be participating in the Illinois State Junior Horse Show.
Additional copies of all horse paperwork and instructions are available on our website at
http://web.extension.illinois.edu/blmp/bureau4hshow/3400.html