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2020 Ohio 4-H Groom & Clean Participation Form
One form should be completed per horse/member combination. All event information can be found online at
www.horse.osu.edu
including additional instructions for this modified event. If you have any questions, please email
cole.436@osu.edu
or
stutzman.34@osu.edu
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* Indicates required question
4-H Member #1 Name (First & Last)
*
Your answer
4-H Member #1 Address (Street, City, State, Zip)
*
Your answer
4-H Member #1 Phone Number
*
Your answer
4-H Member #1 Email
*
Your answer
4-H Member #1 Birthdate
*
MM
/
DD
/
YYYY
4-H Member #2 Name (First & Last)
*
Your answer
4-H Member #2 Address (Street, City, State, Zip)
*
Your answer
4-H Member #2 Phone Number
*
Your answer
4-H Member #2 Email
*
Your answer
4-H Member #2 Birthdate
*
MM
/
DD
/
YYYY
4-H Member #3 Name (First & Last)
Your answer
4-H Member #3 Address (Street, City, State, Zip)
Your answer
4-H Member #3 Phone Number
Your answer
4-H Member #3 Email
Your answer
4-H Member #3 Birthdate
Your answer
County
*
Your answer
Coach Name
*
Your answer
Coach Phone Number
*
Your answer
Coach Email
*
Your answer
Advisor Name (First & Last)
*
Your answer
Advisor Email
*
Your answer
County 4-H Educator Name (First & Last)
*
Your answer
4-H Educator Email
*
Your answer
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