Registration Form
Lamoille County 4-H Youth Dairy Show - Saturday, July 20, 2024
Exhibitor Name
Birthday Age (as of 1/1/24)
Address
Phone
Club Name or Independent 4-H Participant
Parent/Guardian Name
Fitting and Showmanship Class (circle one):
Novice Junior Senior
Novice F&S is for youth ages 8-13 who are in their first year
in 4-H and have little or no experience showing cattle.
The entry fee is $3.00 per animal for all 4-H participants. Each participant will be allowed to enter up to 3 animals
in the show.
Make checks payable to Lamoille County 4-H Foundation and write “Dairy Show” in the memo line. Completed
Registration Forms and payments may be mailed to Holly Ferris at the Morrisville Extension Oce, 29 Sunset
Drive, Suite 2, Morrisville, VT 05661-8313.
Please read and sign “Release of Liability” Statement below:
I understand that showing, leading and working with dairy cattle of any age involves risk of personal injury.
I, nonetheless, wish to participate in the Orleans and Essex County 4-H Dairy Show to be held at the Orleans
County Fairgrounds site. I do so at my own risk and agree to indemnify and hold harmless the University of
Vermont and State Agriculture College, the UVM Extension, Lamoille County Fair and Field Days, Holly Ferris, their
trustees, owners, employers and volunteers, and agents from any loss, penalties, damages, settlements, costs or
other liabilities arising out of this activity. In signing, I agree to accept all responsibility for any damages, accidents,
injuries, and expenses occurring to or caused by the show person or any cow/calf I have entered in this event.
Animal Name
Breed
Class #
Animal DOB $3/Animal Entered
Total Payment:
Signature of Member Date
Signature of Member Date
Registration Deadline: Monday, July 8, 2024