UMaine Cooperative Extension logo 4-H banner showing children, UMaine Extension logo, and 4-H clover  
4H: Bringing the University to youth  
ABOUT 4-H

YOUTH

FAMILIES

VOLUNTEERS

4-H ALUMNI

JOIN 4-H

DONATE

For a printable version of this document, click here

2009 Maine 4-H Dairy Team

Eastern States Exposition Intent to Participate Form

 

(Please print or type all information below)

 

I,

    I, ____________________________________, am interested in attending the Eastern States Exposition in West Springfield, Massachusetts in September as a member of the Maine 4-H Dairy Team – either with an animal, as a member of the Dairy Bowl team, Fitting Team member, or Judging Team member.

I am in at least my second year of the 4-H Dairy Program.

 

Age as of January 1, 2009: _______________________

(You must be 12 years old as of December 31, 2009 to try out)

 

Mailing address: _______________________________________________________________

 

                            _______________________________________________________________

 

                            Town _____________________________________ Zip Code ____________

 

Telephone Number: ____________________________________________________________

 

My E-Mail address: ____________________________________________________________

 

Parent’s E-Mail address: ________________________________________________________

 

Member’s Signature: ___________________________________________________________

 

Parent/Guardian Signature: ___________________________________ Date: ______________

 

County Extension Educator Signature: __________________________ Date: ______________
County Educator verifies that 4-Her was enrolled by December 31 of the current 4-H year.

 

This form indicates your intent to participate in the 2009 Eastern States 4-H Dairy Show as a representative of Maine.  Any Maine 4-H member who is considering team membership in 2009 should fill it out.  This form must be completed and returned by the deadline to be eligible for the 2009 Maine 4-H ESE Dairy Team.  However, this form alone does not enroll the member on the Maine 4-H ESE Dairy Team.

 

 

NOTE:  A completed form needs to be returned by May 1, 2009

Return forms to:

Leeanne Moon

24 Village View Lane

Freeport, ME  04032

Telephone: 865-1420


The University of Maine Cooperative Extension logo

Accessibility | Non-discrimination and Disability Resources | Non-disclosure |

A Member of the University of Maine System
These pages are currently being maintained by the Communications Office, University of Maine Cooperative Extension. Page Last Modified: 07/10/09

COUNTY OFFICES | PROGRAMS | RESOURCES | PUBLICATIONS | NEWS AND EVENTS | COOPERATIVE EXTENSION HOME | UMAINE

Putting knowledge to work with the people of Maine