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4-H CLOVER AGRICULTURAL ENTRY (Ages 5–7)
THE MONTGOMERY COUNTY AGRICULTURAL FAIR Office Use Only
16 CHESTNUT STREET, GAITHERSBURG, MD 20877 Received: _______________

Name: _______________________________________________ Exhibitor _______________________ Tally: ___________________

Address: ___________________________________________________________________________ Letter: __________________

City: _____________________________________ State: _____________ Zipcode: _______________ Comp.:__________________

4-H Age: _________ (as of January 1) DOB: ______________ Phone: ___________________________
Passes: __________________
E-mail: _____________________________________________________________________________
Absolutely NO entries
I have read, understand and agree to abide by all the rules and regulations published in the Montgom-
ery County Agricultural Fair Premium Catalog. I also agree that I will not hold the Montgomery County will be accepted after
Agricultural Fair liable for any accidents or injury, which may occur while participating in the Fair. July 20, 2018.
I have read the rules and expectations for participation in the MCAC Fair and promise to support and Use certified mail and
practice humane treatment of animals at all times.
print a receipt if using
I agree to present an MDA self-certification of animal health form to the department superintendent online entry.
prior to unloading animals.

Exhibitor’s Signature: _____________________________________________ Date: __________________

Parent/Guardian Signature: ________________________________________ Date:__________________
I have read the rules and regulations for the 4-H Clover Agricultural Department 21 published in the Fair Catalog. Times of events
are either published or available through your Clover Leader.

ALL ENTRIES ARE FOR DEPARTMENT 21 ONLY—one form per exhibitor

Div. Class Description of CLOVER KNOWLEDGE Activity* Choose from any category
A 1 Clover Stockman (Beef, Sheep, Swine)
A 2 Clover Dairy Cattle
A 3 Clover Dairy Goats
A 4 Clover Poultry
A 5 Clover Pets (Pets, Dogs, Rabbits)
A 6 Clover Horse & Pony
A 7 Clover Rabbits (Show Rabbits)
Div. Class Description of CLOVER HANDLING Activity** Choose only for the club you participate in
B 1 Beef Handling
B 2 Sheep Handling
B 3 Swine Handling
B 4 Dairy Cattle Handling
B 5 Dairy Goat Handling
B 6 Poultry Handling
B 7 Rabbit Handling
B 8 Pet Handling
B 9 Horse & Pony Handling
* Any 4-H Montgomery County Clover can participate in any of the Clover knowledge classes. These activities are provided for learning experiences.
** Handling Classes are designed to allow the child to demonstrate what he or she has learned about safely handling/showing his or her species.

4-H Family Discount Pass (includes parking): Rates/Prices Subject to Change—$10/day; $50/season
Club Leader(s) Signature
1. _____________________________________ 2. _____________________________________ 3. ___________________________________
mcagfair.com Note: A $3 premium will be mailed to the clover for their participation in
ENTRY DEADLINE IS JULY 20th Department 21. Participation ribbons will be handed out after the event.