Wyoming State 4-H Rabbit I.D. Certificate
(Due June 1st of the Current 4-H Year - NO EXCEPTIONS)
4-H Handler’s Name
Call Name of Rabbit
Address
Registered Name of Rabbit
City
State
Zip
Color and Description of Rabbit
Name of Club
Member’s Phone Number
Member’s Social Security Number
Member’s Date of Birth
When was this rabbit acquired for 4-H Rabbit Project?
Month
Day
Year
Month
Day
Year
When was this rabbit in your possession for the 4-H
Rabbit Project?
Breed or Type
Variety
Sex
Rabbit’s Date of Birth
Place of Birth
USA
Canada
Foreign
Owner(s) Name/Address:
I certify that this rabbit is a 4-H project for the current year and is owned by myself or a member of my
immediate family as required by Wyoming State 4-H policy. The owner must be an immediate family member-mother, father, sister, brother, or the 4-H member him/herself with the exception of co-owned rabbits. I
understand and will comply with the rules regarding valid proof of shot records before all 4-H sanctioned rabbit
shows. Ownership may not be changed/added to/altered after June 1st of the current 4-H year.
Signature of 4-H Member
Signature of
Parent/Guardian
Signature of 4-H Leader
Date Filed in County Office
Signature of
University 4-H Program Associate
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