2021 MARKET Poultry Registration Form
Email address *
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) *
Parent(s) Phone *
Parent(s) Email *
4-H Club *
4-H & NWMI Fair Poultry Information/Requirements
~ Be sure to consult the NWMI Livestock Council Guidebook and website for all rules, requirements, current information, and tips for marketing and showing poultry.

~ All poultry entering the NWMI Fair will receive an identification band on check in day.

~ Showmanship is REQUIRED for ALL 4-H members entering poultry for exhibition at the NWMI Fair.

~ All poultry exhibited at the NWMI Fair must come from a pullorum-free hatchery and the certificate must be presented on check in day. Free testing will be provided for those who do not have the certificate.
4-H Animal Information
NOTE: Market birds should NOT be used as show birds. PLEASE bring a bird for showmanship AND complete the showmanship registration form to ensure pen space for that bird.
Species *
Birds' Breed *
Birds' Date of Hatch *
MM
/
DD
/
YYYY
Poultry Registrations are due: March 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