Rockingham County 4-H Member

ROCKINGHAM COUNTY 4-H MEMBER PARTICIPATION DATA SHEET

Name: ______Birthdate: ______Age: (1/1/16) ______

Joined: ______Cloverbud / JR / SR Eligibility Card: ______

Club Officer: ______Committee(s): ______

Activities:

Horse Public Speaking ______

Horse Presentation/Demonstration ______District Horse Retreat ______Horse Bowl ______Horsemanship Camp ______

Hippology ______Trail Ride ______Horse Judging ______NC District 4-H Horse Show ______Project Record Book ______NC State 4-H Horse Show ______

Artistic Expression: (see italicized below) ______Southern Regional 4-H HS ______Craft Horse Contest _____ Horse Poster Contest Other: ______Horse Photography Contest _____ Horse Drawing Contest _____ Horse Essay, Short Story _____ Horse Painting Contest ______or Poetry Contest

Other: ______

______

Service Project: Date: Service Project: Date:

______

Meeting Attendance / Participation: January ______February ______March ______April ______May ______June ______July ______August ______September ______October ______November ______December ______