2012 MVDHP APPLICATION
Complete this application, enclose a $100.00 deposit (check payable to Magic Valley Dairy Heifer Program - nonrefundable
if you voluntarily withdraw), on separate piece of paper write a brief explanation why you want to be in the program,
and a letter of recommendation from your 4-H leader/FFA advisor. Return them to the MVDHP, c/o Twin Falls County
Extension, 246 3rd Avenue East, Twin Falls, ID 83301, no later than 5:00 p.m., Friday, January 27, 2012. To be eligible to
participate, applicants must be 8 years old by January 1, of current year and not older than the 11th grade in the year the
application is made. It is strongly recommended that participants have at least one year dairy showing experience prior to
applying. For questions call the Twin Falls County Extension Office at (208)734-9590 ext.22 or fax (208)733-9645.
Name: ______________________ Applicant Phone Number: __________
Grade: _____
Birthdate: ________
As of Jan. 1
Address: ___________________________________
City/State/Zip: ______________________________
Email Address: _____________________ Residence (check one) □Farm/Ranch □Rural under 10,000 □Town 10,000-50,000
Parent/Legal Guardian(s)___________________________________________________________________________
Name(s)
Address
Phone Number
4-H Club/FFA Chapter: ______________________________________________
County: __________________
4-H Leader in Good Standing or FFA Advisor: __________________________ Leader/Advisor Phone:
_____________
PROGRAM REQUIREMENTS
Applicant
Parent
(INITIAL
line indicating you have read & agree to fulfill each
requirement)
Magic Valley
Dairy
Heifer each
Program
Phone:
(208) 734-9590
246 3rd Avenue East
Fax: (208) 733-9645
_______
_____
I agree to enroll in and be an active member of a 4-H Club/FFA Chapter, complete a dairy project,
Twin Falls,
ID 83301
a project record book, and participate in the 4-H/FFA dairy show at my county fair. Once the
project starts in 4-H or FFA program, it must finish in the same program it started.
(INITIAL each box indicating you have read & agree to fulfill each requirement)
I agree to_____
enroll inI agree
and betoan
activethe
member
of a educational
4-H Club/FFA
Chapter,
complete
a dairy&project,
a Achievement
_______
attend
scheduled
activities
(Spring
Education
Sale Day,
project record book,
and
participate
in
the
4-H/FFA
dairy
show
at
my
county
fair.
Day, and Fall Education Day).
_______
I agree
to showeducational
in the Magic
Valley Dairy
Heifer
Program
Show
heldAchievement
at the Twin Falls
I agree to_____
attend the
scheduled
activities
(Spring
Education
& Sale
Day,
Day, County Fair
and
follow the rules required for the MVDHP Show & Sale (copy provided upon request).
and Fall Education
Day).
_______
agree
to properly
care for
my project
animal,
feed, County
medicalFair
careand
and training as
I agree to_____
show inI the
Magic
Valley Dairy
Heifer
Program
Show providing
held at theproper
Twin Falls
needed.for the MVDHP Show & Sale (copy provided upon request).
follow the rules required
_______
to my
ensure
thatanimal,
my animal
meetsproper
all health
requirements
settraining
by the Twin
I agree to_____
properlyI agree
care for
project
providing
feed,
medical careasand
as Falls County
Fair Board and sell my heifer at the Magic Valley Dairy Heifer Program Sale at the Twin Falls
needed.
County Fair at the completion of my project.
I agree to ensure that my animal meets all health requirements as set by the Twin Falls County Fair
_______
_____
turnDairy
in allHeifer
required
reportsSale
andatinformation.
Board and
sell myI agree
heifer to
at complete
the Magicand
Valley
Program
the Twin Falls County Fair at
the completion of my project.
_______
_____ I agree to turn in to the MVDHP, c/o Twin Falls County Extension, a thank you card (stamped and
Addressed
buyer of reports
my heifer)
payment is made for my heifer.
I agree to complete
and turnto
inthe
all required
andbefore
information.
_______
_____ I agree to contact the MVDHP Steering Committee as soon as possible should I become
ineligible. Move from the area or if I have problems with my animal.
Applicant’s Signature________________________________ Parent/Guardian’s Signature ________________________
The Magic Valley Diary Heifer Program Steering Committee reserves the right to refuse an animal to an individual based on prior performance, ability, or if references indicate
that it would be in the best interest of the child or the animal that the animal be denied. In the event the Steering Committee votes to reclaim an animal, it will be purchased
from the dismissed participant at fair market price. No animals will be replaced except for non-breeders, at the discretion of the Steering Committee.
To enrich education through diversity the University of Idaho is an equal opportunity/affirmative action employer and education institution.
University of Idaho and U.S. Department of Agriculture cooperating.