2024 Nash County Contract for 4-H Horse Eligibility
Please complete in effort to receive eligibility card. 

If riding more than 1 horse, a separate entry must be submitted for each horse. 

For all the instructions and correct procedures please visit https://equinehusbandry.ces.ncsu.edu/2022/02/2022-nc-4-h-horse-program-eligibility-card-instructions/
We need a couple business days to complete eligibility cards so please plan ahead. We will do our very best to accommodate. 

All requesting a eligibility card must be a Nash County 4-H Club Member and already enrolled in 4-H Online. 
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Email *
Name of Youth Participant seeking eligibility card?  *
Name of Parent *
Contact Phone Number for Parent Completing this form?  *
Name of Nash County 4-H Club the 4-H Youth is already a member?  *
Members Birth Date *
Members Address *
Youth must agree to complete at least 1 of the following 4-H Projects to receive the 2024 4-H Horse Eligibility Card. You may check more than one.  *
Required
Please indicate which show you will be attending to qualify for the state horse show. You can only attend one show no matter how many horses you plan to ride. *
Division in which horse/rider will participate  *
Horse Name (Must match name on Coggins) *
Horse Date of Foaled *
Horse Sex *
Description of the Horse - color and markings  *
4-H Member Agrees that information provided is accurate and agrees to complete in order to be in good standings for the 2024 4-H Contract for Horse Eligibility. Please print 4-H members full name to acknowledge agreement.  *
Parent of 4-H Member Agrees that information provided is accurate and agrees to complete in order to be in good standings for the 2024 4-H Contract for Horse Eligibility. Please print parent name acknowledge agreement. 
My club leader knows I am requesting a Nash County Contract for 4-H Horse Eligibility Card.  *
A copy of your responses will be emailed to the address you provided.
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