2021 MARKET Rabbit 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
Project's Tattoo Number(s)
Project's Breed
Project's Date of Birth
MM
/
DD
/
YYYY
Is/Are the rabbit(s) housed at the address listed above? *
If no, please provide name, address, and phone number for the location they are housed at:
Market Rabbit Registrations are due: May 3rd, 2021
A copy of your responses will be emailed to the address you provided.
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