Official Entry Form Instructions: or tape this entry form on the back of your poster in the upper right hand corner. Please print. Name _________________________________________________________ Street Address__________________________________________________ City, State, Postal Code __________________________________________ Telephone Number ______________________________________________ E-mail Address (if available)_______________________________________ COUNTY ________________________________________________________ Teacher or 4-H Club _____________________________________________ Date of Birth ___________________________________________________ Age Category: (Check one) 4 6 in current school year — – Cloverleaf Junior 7 8 in current school year — – Senior Grade 9 12 in current school year — –
Official Entry Form Instructions: or tape this entry form on the back of your poster in the upper right hand corner. Please print. Name _________________________________________________________ Street Address__________________________________________________ City, State, Postal Code __________________________________________ Telephone Number ______________________________________________ E-mail Address (if available)_______________________________________ COUNTY ________________________________________________________ Teacher or 4-H Club _____________________________________________ Date of Birth ___________________________________________________ Age Category: (Check one) Cloverleaf — 4 – 6 in current school year Junior — 7 – 8 in current school year Senior — Grade 9 – 12 in current school year
2017JUNEDAIRYMONTH4H.docx