2018 New England 4-H Dog Program at THE BIG E Entry Form
This entry is made in accordance with the rules and regulations governing this program
PLEASE ENTER ALL INFORMATION AND COMPLETE EVERY LINE
Please select one *
Required
Exhibitor Last Name *
Your answer
Exhibitor First Name *
Your answer
Club Name *
(write "independent" if not part of a club)
Your answer
Mail Address *
Your answer
Town/City *
Your answer
State *
Your answer
State Representing *
Your answer
Zip Code *
Your answer
Telephone # *
Your answer
E-mail Address *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Is this your last eligible year? *
Required
Number of years with any and all dog showmanship experience *
Include this year
Your answer
Call Name and Breed of Dog *
Your answer
Kennel requests *
Your answer
My dog will be participating in the bandana program *
It is the member's responsibilty to enter the correct obedience class.
Note: Division I designates ages 12-14; Division II designates ages 15-19. Ages are determined as of January 1
Showmanship *
Select one of the following
Obedience *
Select one of the following
Agility *
Select one of the following
Would you like to participate in a quiz bowl team not affiliated with a particular state? *
Required
Do you require a reader to assist you with the Dog Knowledge Quiz? *
Required
Are you planning to participate in Meet the Breed? *
Required
Please note if the 4-H member need any special accommodations in order to participate in this program (Physical accommodations, test accommodations, allergy safe, etc.). *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service