2016 Iosco County 4-H Horse Registration Form
Name: __________________________________________________________________________
Address: _________________________________________________________________________
City: ____________________________
Birth Date: ___________________
Zip: ____________
Age: _______
Phone: ____________________
Year(s) in 4-H: _______________________
4-H Club: ________________________________________________________________________
4-H Leader(s): ____________________________________________________________________
4-H Horse-Pony Project Information
I have more than one project animal: Yes
No
List name of horse/pony project(s) exactly as it will appear on the entry form.
1. Name of Animal: _______________________________________________
Age: ______
Horse: _______
Color: ______________________
Breed: _________________________
Pony (56 inches or under): ________
2. Name of Animal: _______________________________________________
Age: ______
Horse: _______
Color: ______________________
Horse: _______
Pony (56 inches or under): ________
Color: ______________________
Horse: _______
Sex:________
Breed: _________________________
Pony (56 inches or under): ________
4. Name of Animal: _______________________________________________
Age: ______
Sex:________
Breed: _________________________
3. Name of Animal: _______________________________________________
Age: ______
Sex:________
Color: ______________________
Sex:________
Breed: _________________________
Pony (56 inches or under): ________
Equine entered into fairs, exhibitions or similar events must test negative for Equine Infectious Anemia (EIA) prior
to the event with the current calendar year. Please attach a copy of the negative Coggins test for each horse
registered.
Please complete and return this form by Friday, April 29, 2016 with a cover letter to the MSU Extension Office.
Send Completed Forms to:
Kelli Rau
MSU Extension Office
PO Box 599
Tawas City, MI 48764