Forms & Applications

Forms & Applications strip

PDF Version:  Print off the PDF if you going to complete application by hand or use a typewriter.

Fill In Word Form Version:  Open the Word form version, download and save to your computer.  This will allow you to complete the form on your computer and e-mail or print out completed version to turn into the Extension Office.

2012 4-H Club Forms

Member Enrollment Form - PDF

Use by all new and returning members for the 2012 4-H Enrollment year in Clark County.

Returning Volunteer Enrollment Form - PDF

Use by all current 4-H volunteers that are returning to serve the Clark County 4-H Program.  This form is not to be used by individuals seeking to become a 4-H Volunteer. Please go to the volunteers page for the New Volunteer Packet. 

Across County Application - PDF

Use to apply for 4-H membership into another county from your home residence. 

4-H Publications Order Form - PDF

4-H Publications Order Form - Fill-In Form

Use to order your 4-H project books and resources.

4-H Member Code of Conduct Form - PDF

To be completed annually by each 4-H member and given to your club advisor. 

4-H Club Charter Checklist - PDF

To be completed and signed annually by each 4-H club and returned with club's enrollment forms to the Clark County Extension Officer. 

4-H Club Constitution Fill-able Form - PDF Fill-In

Every 4-H club must use this constitution format beginning in 2012.  Complete required fields, sign and return to the Clark County Extension with your club's enrollment forms. 

2012 Animal Royalty                PDF     Fill-In

4-H & FFA members use to apply for Dairy Princess, Canine Royalty, Beef Queen, Goat Ambassador, Alpaca & Llama Ambassador, Poultry Prince and Princess, and/or Lamb Princess.  Entry deadline at species skillathons on June 27 or June 28. 

2012 4-H King & Queen Contest     PDF      Fill-In

4-H members, 14 years of age and older may apply to become 4-H King or Queen.  Application deadline is July 1, 2012.  Interviews and on-stage performances will be held on Tuesday, July 24 at the Clark County Fair. 

2012 4-H Baking Contest - Due June 15th

Baking Contest Entry Form          PDF    Fill-In

Any 4-H member that wants to enter the Baking Contest must make entry on this form.   Entries due by June 15 to the Extension Office.

Baking Contest Rules   PDF

2012 Beef Forms - Due at Beef Skillathon

Senior Beef Award Form             PDF    Fill-In

4-H & FFA members with 5 or more years of beef experience may apply.  Application deadline June 1st or at Beef Skillathon on June 28. 

Winterhoff Beef Award Form      PDF     Fill-In    

Youth with 1 to 4 years with beef projects may apply.  Application deadline June 1st or at Beef Skillathon on June 28.

2012 4-H Camp

4-H Camp Scholarship        PDF

Parents that are seeking financial assistance for their child to attend 4-H camp may request scholarship dollars provided by the Dayton Foundation Harmony Campership Fund and the Clark County 4-H Committee through the Send A Kid To Camp Campaign.  Youth must be age 8 and in 3rd grade to age 14 as of January 1st to apply for 4-H Camp Scholarships.  Youth do not have to be 4-H members to apply for 4-H camp scholarship dollars.  Application deadline May 15, 2012.  

2012 Dairy Forms - Due June 1st

Clark Co. Jr. Fair Dairy Show Entry Form    PDF    Fill-In

Any 4-H or FFA member that wishes to show a dairy heifer or cow must make entry by June 1, 2012. 

2012 Dog Forms - Due July 1st.

Clark Co. Jr. Fair Dog Show Entry Form    PDF   Fill-In

Any 4-H member that plans to show a dog at the Clark County Fair must make entry by July 1, 2012 with this form.

Clark Co. 4-H Dog Vaccination Form         PDF  

All 4-H dogs must have a current vaccination form, dog tags and license.  These documents must be presented at 4-H Dog Skillathon on June 27 in order to be eligible to show in any of the Clark County 4-H Dog Shows or events. 

Clark County 4-H Dog Project Letter    PDF

All 4-H dog project members and their families are encouraged to read this important letter filled with information for successful participation in the 2012 Clark County 4-H Dog program. 

2012 4-H Fashion Revue Description Form   

PDF     Fill-In  

Any 4-H clothing project member must complete a 4-H Fashion Revue Description Form and submit by July 1st to the Extension Office. 

2012 Goat Forms

Co. Produced Goat Entry Form       PDF    Fill-In

Entry deadline May 12, 2012 at Goat Tag-In.  Breeder must sign your entry form.

Clark Co. Jr Fair Goat Entry Form   PDF     Fill-In

Entry deadline June 1, 2012.  Any 4-H or FFA member that wishes to show a dairy, speciality or market production goat at the Clark County Fair must make entry.

2012 Horse Forms - All Forms DUE MAY 1st!

Horse Member Permission to Participate Liability Release Form    PDF

Every 4-H horse project member and parent/legal guardian must read, complete and sign.  

Horse Member Medical Form  PDF

Every 4-H horse project member and parent/legal guardian must complete and sign.  

Horse Lease Form    PDF

Any 4-H member that does not own their horse, but is leasing a horse must submit a Horse Lease to the Extension Office by May 1st.  Use the attached guidelines to assist you in drafting a lease that must be signed by the lessee, lessor and the member's parents/legal guardians.  In addition, the horse identification form (sketch) must be submitted with the written lease.  

Horse Club Horse Project Identification Form    PDF

Must be completed by every 4-H club enrolling horse project members.  You must list each member's project horse(s) and the required information.  Members that wish to participate in the Clark County PAS Horse Show must register on this form as well with their classes.  Members may enter in up to 4 classes for PAS with only one horse.  Refer to the 2012 State 4-H Horse Show Schedule for class numbers.  Click Here. 

Horse Royalty Competition Form       PDF        Fill-In

Any horse project member may enter in the Horse Royalty Competition.  This contest is the same contest as the Outstanding Horse Youth, just renamed with different awards.  See contest rules on the form.  

Out of County PAS Request Form       PDF

Any 4-H member that wishes to show in another county's PAS Horse Show to try to qualify for State Fair must complete an Out of County PAS Request Form.  Form must be signed by the 4-H County Extension Educator and faxed to the county where you wish to try out.  A Horse Description Form must also be completed and submitted with the Out of County PAS Request Form, click here.

2012 Jr. Fair Horse Show Entry Forms - DUE July 1st

Jr. Fair Horse Show Entry Form       PDF

Any 4-H Horse project member that wishes to show at the Clark County Fair must complete and submit an entry form by July 1st.  Some classes require prequalification through participation at a Mini Circuit Show, Dressage Show or Prequalifying Clinic.  Check for 4-H Calendar, 4-H Newsletters or visit the clinics, workshops and shows page click here.

Jr. Fair Musical Freestyle Entry Form       PDF

Any 4-H Horse project member that wishes to participate in the Musical Freestyle Show must make entry and submit music by July 1st to the Horse Show Committee. 

2012 Sheep Forms

 Miss Lamb & Wool Queen Entry    PDF       Fill-In

Any girl ages 16 to 18 may apply for the 2012 Clark County Miss Lamb & Wool Queen.  Entry deadline is July 1, 2012 with interviews held on July 9, 2012. 

Lead Line & Cook Off Entry           PDF       Fill-In

Anyone seeking to make entry in the ladies and shepherds lead line, cook off or lamb decorating contest must make entry by noon on Saturday, July 21, 2012. 

2012 Jr Shooting Sports Camp Scholarship  PDF

4-H Shooting sports members age 9 to 12 may apply for a scholarship to attend the Shooting Sports camp.  One full scholarship provided by the Clark County 4-H Shooting Sports Committee.  Application deadline April 1, 2012. 

2012 Swine Forms

County Farrowed Entry Form      PDF     Fill-In

Entry deadline May 15, 2012.  Any 4-H or FFA member wanting to show a market pig in the County Farrowed Show must make entry with breeder's signature.

Market Swine ID Form                PDF     Fill-In

Entry deadline May 15, 2012.  Any 4-H or FFA member wanting to show a market hog(s) at the Clark County Fair must make entry. 

2012 Missed Skillathon Mediation Form  - PDF

Any 4-H member that misses Skillathon must complete a missed skillathon mediation form and submit by July 9, 4:30 PM to the Extension Office.

 

 

 

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