**NOTE: You will
need to pre-register your horse regardless if you've previously shown the same horse.
Pictures of the horse (individual or scanned on the paper) will be accepted as long
as they are clear and show both sides. Horse Class Forms are also due May 1 and
Horse Jumping Forms are due June 15 !!**
Van Buren Youth Fair Equine
Registration
Due: May 1
Name: ______________________________ Social Security #: ___________________ Date: ______________
Address: _____________________________________ City: _______________________ Zip: _____________
Phone #: __________________________________ Birth Date: ___________________________
Club Name:
________________________________________ Leader:
____________________________________
(If applicable)
I wish to register the following equine as my Van Buren Youth Fair project. I own or provide ownership care for this equine throughout the year.
Horse:
Pony:
Mare:
Gelding:
Foal:
(pony; under 56" subject to measurement until age of 7, card to be filed)
Equine Name: Age: Birth:
Breed: Color:
Description of Markings:
Describe any brands, scars, or other marks that can be used for identification purpose:
I certify that the foregoing statements are true. I understand that false statements will disqualify me from participating in the Van Buren Youth Fair and may bar me from participating in other activities. I understand I may also have to forfeit any opportunities for Awards and Recognition.
Member's Signature: ________________________________________________ Date: ________________
Approved by:
_______________________________________________________ Date: ________________
Parent or Guardian's Signature
Approved by:
_______________________________________________________ Date:
________________
4-H Leader's Signature
OFFICE USE ONLY: Pony:
_____ Date Measured: ______ Height: _____ Shoes:
_____
