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4-H 516 Do not write in this space. Exhibit No. _____________ 1983 INDIANA 4-H HORSE & PONY OWNERSHIP. ENROLLMENT AND ENTRY FORM It is important to be accurate and complete. Any form not completely filled out may prohibit you from showing at State Fair. Therefore, read the instructions on the back of this form. You are making 5 copies so press hard. Member’s Name Date of Birth Month Day Year Complete Mailing Address __________________________________________________________________________________________________________________________ R.R., Box, Road Number, Street, Apt., etc. Town State Zip Code County _________________________ Telephone (____________)________-___________ Yr. in Project ___Yr. in 4-H _______________ Where a member Indicate all markings, colors, scars and brands on the diagram (or attach snapshots of the right and left sides of your 4-H animal). Write a description of colors and markings. _______________________________________________________________________________________________ (Animals measured unshod and later shod must be remeasured and marked on the enrollment form.) Animals will be measured at random at the State Fair. Complete this block when you are making a State Fair entry. Section No. Class Name Halter (Enter only one section) Performance (Enter only one section) Showmanship (only one area & one county winner per section) Costume Color Guard Weanling (see back page) Date_____ Signature of 4-H member verifying accuracy____________________________ Date_____ Signature of 4-H parent verifying accuracy_____________________________ Date_____ Signature of Extension Agent verifying membership_______________________ Entry qualified at area____or county show (check one only) Complete this block for enrollment as outlined in the instructions on the back of this form. List the Breed or Grade_____________ Identification No. (if registered)______________ Horse’s Name Animal Birthdate Club (in which you are a 4-H member) Mare Gelding Foal Mare & Foal (Circle one) I hereby certify that I am the owner or lessee (circle one) of this animal and that it is in my personal possession and under my daily care. Date_____ Signature of 4-H member verifying completeness and accuracy.___________________ Date_____ Signature of 4-H parent verifying completeness and accuracy._____________________ Date_____ Signature of 4-H Leader_________________________________ Date_____ Signature of Extension Agent verifying membership._________________________
Object Description
Title | Extension Mimeo 4H, no. 516 (1983) |
Purdue Identification Number | UA14-13-mimeo4H516 |
Title of Issue | Indiana 4-H Horse and Pony Ownership, Enrollment and Entry Form |
Date of Original | 1983 |
Publisher | Purdue University. Agricultural Extension Service |
Genre | Periodical |
Collection Title | Extension Mimeo 4H (Purdue University. Agricultural Extension Service) |
Rights Statement | Copyright Purdue University. All rights reserved. |
Coverage | United States – Indiana |
Type | text |
Format | JP2 |
Language | eng |
Repository | Purdue University Libraries |
Date Digitized | 01/25/2016 |
Digitization Information | Original scanned at 400 ppi on a BookEye 3 scanner using Opus software. Display images generated in Contentdm as JP2000s; file format for archival copy is uncompressed TIF format. |
URI | UA14-13-mimeo4H516.tif |
Description
Title | Page 001 |
Purdue Identification Number | UA14-13-mimeo4H516 |
Publisher | Purdue University. Agricultural Extension Service |
Genre | Periodical |
Collection Title | Extension Mimeo 4H (Purdue University. Agricultural Extension Service) |
Rights Statement | Copyright Purdue University. All rights reserved. |
Coverage | United States – Indiana |
Type | text |
Format | JP2 |
Language | eng |
Transcript | 4-H 516 Do not write in this space. Exhibit No. _____________ 1983 INDIANA 4-H HORSE & PONY OWNERSHIP. ENROLLMENT AND ENTRY FORM It is important to be accurate and complete. Any form not completely filled out may prohibit you from showing at State Fair. Therefore, read the instructions on the back of this form. You are making 5 copies so press hard. Member’s Name Date of Birth Month Day Year Complete Mailing Address __________________________________________________________________________________________________________________________ R.R., Box, Road Number, Street, Apt., etc. Town State Zip Code County _________________________ Telephone (____________)________-___________ Yr. in Project ___Yr. in 4-H _______________ Where a member Indicate all markings, colors, scars and brands on the diagram (or attach snapshots of the right and left sides of your 4-H animal). Write a description of colors and markings. _______________________________________________________________________________________________ (Animals measured unshod and later shod must be remeasured and marked on the enrollment form.) Animals will be measured at random at the State Fair. Complete this block when you are making a State Fair entry. Section No. Class Name Halter (Enter only one section) Performance (Enter only one section) Showmanship (only one area & one county winner per section) Costume Color Guard Weanling (see back page) Date_____ Signature of 4-H member verifying accuracy____________________________ Date_____ Signature of 4-H parent verifying accuracy_____________________________ Date_____ Signature of Extension Agent verifying membership_______________________ Entry qualified at area____or county show (check one only) Complete this block for enrollment as outlined in the instructions on the back of this form. List the Breed or Grade_____________ Identification No. (if registered)______________ Horse’s Name Animal Birthdate Club (in which you are a 4-H member) Mare Gelding Foal Mare & Foal (Circle one) I hereby certify that I am the owner or lessee (circle one) of this animal and that it is in my personal possession and under my daily care. Date_____ Signature of 4-H member verifying completeness and accuracy.___________________ Date_____ Signature of 4-H parent verifying completeness and accuracy._____________________ Date_____ Signature of 4-H Leader_________________________________ Date_____ Signature of Extension Agent verifying membership._________________________ |
Repository | Purdue University Libraries |
Digitization Information | Original scanned at 400 ppi on a BookEye 3 scanner using Opus software. Display images generated in Contentdm as JP2000s; file format for archival copy is uncompressed TIF format. |
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