DUE DATE: September 10, 2018 NAME: ADDRESS: City: Zip: PARENTS NAME:
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1 For Club Year DUE DATE: September 10, 2018 NAME: ADDRESS: _ City: Zip: _ PARENTS NAME: CLUB: _ Years In 4-H: Please indicate shirt size: YS YM YL SM MD LG XL 2XL 3XL (circle one) Choose one gift only JUNIORS (ages 8 to 12 before Sept. 1, 2017) SENIORS (13 and older before Sept. 1, 2017) Juniors need 150 to 299 Points and Seniors need 200 to 349 Points for this sec on of choices Scrapbook Kit Tote Bag Outdoor Cap Two-Tone Flashdrive Grey Seal Cap 4-H Dots T-Shirt (YS - 3XL) Speckled Mug Pledge Key Chain Phone Accessory Clover Livestock Brush Umbrella Grey Clover Tee (AS - 4XL) Oven Mi & Spoon Stainless Travel Cup Make Best Be er T-Shirt (YM - 3XL) Juniors need 300 to 399 Points and Seniors need 350 to 499 Points for this sec on of choices Sweatshirt Roll Up Blanket Park Blanket Duffle Bag Basketball Cooler Scrapbook Kit Stainless Tumbler Neon Graphic Tee (AS - 2XL) Athle c Cinch Bag Football Reverse Beanie Coloring Book/Pencils/Highlighters Clover Gardening Kit Juniors need 400 or More Points and Seniors need 500 or More Points for this sec on of choices Soccer Ball Apron & Spoon Stadium Seat Scrapbook Package Hot n Cold Cup Set 4-H Hoodie (YL - 3XL) Green & White Tote Beanie & Sock Bundle Padfolio & Lanyard Cow Brush Pig Brush Clover Brush Volleyball Custom Photo Plaque Page 2 points CUSTOMIZATION: What would you like your plaque or brush to say? Page 3 points Page 4 points Page 5 points TOTAL POINTS Signatures of the Club Leader and parent. I agree that the information provided by this 4-H er is correct. DATE:
2 RULES: Points on all events are on a yearly basis and cannot be carried over - Place a check-mark in front of those completed and add up all points Points Points EVENT Given Earned 4-H RIBBONS - Achievement Days, Horse Show, Communica ons Arts, Showcase, Clothing Revue, and ND State Fair Grand, Reserve, or Merit Ribbons. # _ X 20 = Blue Ribbons. # _ X 15 =. 15 Red Ribbons..... # _ X 10 =.. 10 White Ribbons.... # _ X 5 = Herdsmanship.. 15 Completed Scissors Award Applica on turned in on me Scissors Award Winner CLUB ACTIVITIES Club Officer (Pres., VP, Sec., Treas., Reporter, Rec., Songs, Historian).. 20 Demonstra on given at local 4-H Club mee ng Demonstra on given to groups other than 4-H (list on another page).. 5 Club Mee ngs A ended (5 pts each mee ng).. #of mtgs _ Wrote the Club News Report in Newspapers (10 pts each) # or reports _ 10 4-H Council Mee ngs A ended (5 pts each mtg)... #of mtgs _ Elected 4-H Council Youth Representa ve.. 15 JUDGING Hippology Prac ce sessions a ended x 5 pts each.. 5 Hippology County/region contests # competed in X 15 pts each Hippology State Contest Par cipa on Hippology State Contest 1st Place Individual/Team Hippology State Winner (top 20 individual and/or top 5 team) Livestock Prac ce sessions a ended x 5 pts each.. 5 Livestock County/region contests # competed in X 15 pts each Livestock State Contest Par cipa on Livestock State Contest 1st Place Individual Team. 100 Livestock State Winner (top 20 ind. and/or top 5 team) (up to 200 pts). 100 Crops Prac ce sessions a ended x 5 pts each.. 5 Crops County/region contests # competed in X 15 pts each Crops State Contest Par cipa on Crops State Contest 1st Place Individual Team Crops State Winner (top 20 individual and/or top 5 team).. 75 Meats Judging Prac ce sessions a ended x 5 pts each. 5 Meats Judging State Contest Par cipa on 40 Meats Judging State Winner (top 20 individual and/or top 5 team) Meats State Contest 1st Place Individual Team TOTAL Page 2
3 JUDGING (con nued) Consumer Choices Prac ce sessions a ended x 5 pts each 5 Consumer Choices County Par cipa on Consumer Choices District Par cipa on Consumer Choices State Par cipa on Consumer Choices State Winner (top 20 ind. and/or top 5 team) (up to 200 pts) H PROJECT EXPO/CLOTHING REVUE PROJECT EXPO County Par cipa on PROJECT EXPO County First Place PROJECT EXPO State Fair Par cipa on PROJECT EXPO State Fair Award of Excellence CLOTHING REVUE County Par cipa on CLOTHING REVUE County First Place CLOTHING REVUE State Fair Par cipa on CLOTHING REVUE State Fair Award of Excellence/Grand/Reserve COMMUNICATION ARTS CONTEST Communica on Arts - Prac ce sessions a ended x 5 pts each 5 County Contest Par cipant County Contest First place individual or team presenta on District Contest Par cipant State Contest Par cipant State Contest 1st Place Individual Team GOLD RUBERG CONTEST COMMUNITY SERVICE LEADERSHIP WORKSHOPS Community Service Project Par cipant (5 points each list projects) Community Service Project Commi ee Member (10 points each list projects) Community Service Project Chairperson (20 points each list projects) _ TOTAL Page 3 * You may use addi on sheets *
4 SPECIAL/COUNTY/STATE PARTICIPATION A ended last year s 4-H Awards Program. 15 Par cipate in Mountrail 4-H Project Day H Plaza Breakfast Fundraiser Par cipant H Stanley Breakfast Fundraiser Par cipant H Breakfast Fundraiser (Provided Baked Good) H Pet Show Par cipant (15 pts each) Bought/Sold/Traded animal at Small Animal Swap A end the 4-H Small Animal Day Camp A end the 4-H Livestock Day Camp A end a 4-H Needle Cra Workshop (15 pts each) A end 4-H Leathercra Workshop H Open Shows (horse & livestock) 15 pts each list shows a ended.. 15 A end a Horsemanship Workshop (all workshops count as one)... 5 Premium Sale Criteria Form turned in by due date Achievement Day pre-registra on turned in by due date H Achievement Days Set-up and Clean-up 20 Submit photo is Mountrail County photo contest Have your photo selected in the Mountrail County photo contest Par cipate in winter Rolling Plains Archery program State Shoo ng Sports & Archery Spring/Summer/Fall Shoots (40 pts each) 40 State Shoo ng Sports & Archery Spring/summer/Fall Shoots Ind. Top 5 (100 pts each) H Camp Par cipa on in Washburn (20 points each camp) # ND EYC (Extension Youth Conference Fargo).. 40 Mini EYC Conference Ward County Ac vity Day Par cipant. 15 Ci zenship In Ac on par cipant (state event).. 30 Git R Dun & Awards Applica ons turned in to Extension Office by deadline (Sept 15) 20 N.D. 4-H Ambassador (ac ve/current) H Aerospace Event (Grand Forks). 50 Ci zenship Washington Focus. 200 State Delegate to Na onal Congress or Na onal Conference. 200 Completed EYC Training (online or on-site) Entered Dessert in Farm & Ranch Day Dessert Contest ** Dessert Contest Winner Vendor Helper at Home & Garden Show Helped Plant Community Gardens (Stanley/Plaza/Mako /etc) (10 pts each) TOTAL Page 4
5 OTHER EVENTS/WORKSHOPS/ETC (4-H Related Only) DESCRIPTION: DESCRIPTION: DESCRIPTION: DESCRIPTION: DESCRIPTION: DESCRIPTION: DESCRIPTION: DESCRIPTION: DESCRIPTION: TOTAL Page 5
6
7 GIT R DUN AWARD CHOICE JUNIORS: POINTS (8 to 12 yrs) SENIORS: POINTS (13 to 18 yrs) Sizes: YM - 3XL (No YXL) Sizes: AS - 4XL Sizes: YS - 3XL (No YXL) &
8 GIT R DUN AWARD CHOICE JUNIORS: POINTS (8 to 12 yrs) SENIORS: POINTS (13 to 18 yrs) ** You may also pick any item in the lower point division** Sizes: AS - 2XL
9 GIT R DUN AWARD CHOICE JUNIORS: 400 or More POINTS (8 to 12 yrs) SENIORS: 500 or More POINTS (13 to 18 yrs) ** You may also pick any item in the lower point divisions** & 4-H hoodies will be royal blue With white lettering Sizes: YL - 3XL & Custom Photo Plaque (100 Characters allowed) Scrapbook Kits (both)
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