2021 Swine Registration Form
Email address *
Class *
Special Considerations
4-H Member Information
Member's First Name *
Member's Last Name *
4-H Age (Age as of Jan 1st, 2021) *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City *
Zip Code *
Youth Phone Number
Youth Email
Parent(s)/Guardian(s) - NOTE: Enter as you would like it to appear in the auction packet *
Parent(s) Phone *
Parent(s) Email *
4-H Club *
4-H Animal Information
Is this your first year with a swine project? *
Swine #1 - Ear Tag Number
Swine #1 - Project's Breed
Each member may register 1 additional swine, but may only bring 1 market swine to the fair. There is a $10 fee to register an additional hog.
Swine #2 - Ear Tag Number
Swine #2 - Project's Breed
Is the swine housed at the address listed above? *
If No, please provide contact name, phone number, and address for the location that the swine project is housed at.
Cloverbuds & Show only: Whose swine project are you showing?
Swine Registrations are due: February 1st, 2021
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy