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For a printable version of this document, click here
2009 MAINE 4-H GOAT
EASTERN STATES INTENT TO PARTICIPATE FORM
(Please print or type all information below)
I intend to exhibit an animal in the 4-H Goat Show at the 2009 Eastern States Exposition. I intend to exhibit (please check all that apply):
_____ Goats (must own or lease by June 30, 2009)
I am enrolled as a 4-H member in __________________________________county and am 12-18 years old as of December 31, 2008.
____________________________________________________________________
(name)
____________________________________________________________________
(mailing address)
____________________________________________________________________
(home address if different from above)
____________________________________________________________________
(phone number)
____________________________________________________________________
4-H Member’s signature
____________________________________________________________________
4-H Educator’s signature
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 Eastern States 4‑H Goat show
in the current year as a representative of Maine. Any Maine 4-H member
who is considering team membership in the current year should fill it out.
This form must be completed and returned by the deadline to be eligible for the
Maine 4‑H ESE Goat Team of the current year. However, this form alone does
not enroll the member on the 2009 Maine 4‑H ESE Goat Team.
RETURN BY March 31st, 2009 to:
Donna Flint - UMCE
21 Bradeen St., Suite 302
Springvale, ME 04083
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