Four County 4-H Poultry Show and Sale Entry Form
Poultry Show Participant Info
*
Your answer
Youth's Last Name *
Your answer
4-H County of Participation *
Gender *
Participant's Date of Birth *
MM
/
DD
/
YYYY
Participant's Age *
Age as of January 1st of this year
Participant's Grade *
Address: *
Your answer
Telephone Number *
House Number
Your answer
Telephone Number *
Cell Number
Your answer
E-mail Address *
Your answer
Breed Selection *
Please select up to 10 birds per participant. For more information about the breeds, click the following link: go.ncsu.edu/poultrybreeds
0
5
10
Ameraucanas
Rhode Island Red
Will participants be showing these birds as a team? *
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