BUFFALO COUNTY POULTRY IDENTIFICATION CERTIFICATE (One form can be submitted per 4-H family) This form MUST be completed and returned to the Buffalo County Extension Office by June 1.
4-H member(s) Last Name ______First Name(s):______
Address ______
Club ______Phone ______
I hereby certify that the following are owned and being cared for by me as part of my 4-H poultry project in accordance with the requirements and regulations of the Buffalo County 4-H Program. I have read the regulations and understand that the birds I exhibit at 4-H shows during the project year will be among those checked on this form.
______Signature of 4-H member (s)
______Signature of parent/guardian Date
The Exhibitor must be the age of 8-18 years old as of January 1 of the current 4-H year. All poultry must be owned and identified by the individual 4-H’er and/or their family/household, by June 1 including Broilers and Production Turkeys. All poultry must be healthy and show no signs of injury or illness. All poultry that is exhibited at the Buffalo County Fair MUST be identified on this Poultry Identification Certificate There are no limits on the number identified at this time. If in doubt as to whether you will show the bird, put it on the form.
BREED/VARIETY How How BREED/VARIETY How How Many? Many? Many? Many?
CHICKEN BREEDS Bantam Large Fowl CHICKEN BREEDS Bantam Large Fowl Ameraucana-Blue Cochin-Buff Ameraucana-Wheaten Cochin-Frizzle Ameraucana-White Cochin-Golden Laced Ameraucana-Other:______Cochin-Mottled American Game-Other:______Cochin-Partridge Ancona Cochin-Red Andalusian-Blue Cochin-Silver Laced Araucana Cochin-White Aseel-Other:______Cochin-Other:______Australorp Cornish-Dark Barnevelder Cornish-White Belgian d'Anver-Porcelain Cornish- White Laced Red Belgian d'Anver-Quail Cornish-Other:______Belgian d'Anver-Other:______Crevecoeur Belgian d'Uccle-Mille Fleur Cubalaya-Other:______Belgian d'Uccle-Other:______Delaware Booted-Other:______Dominique Brahma-Buff Dorking-Silver Gray Brahma-Dark Dorking-Other:______Brahma-Light Dutch-Black Buckeye Dutch-Blue Light Brown Campine-Golden Dutch-Cream Light Brown Campine-Other:______Dutch-Light Brown Catalana-Buff Dutch-Other:______Chantecler-Buff Faverolle-Salmon Chantecler-Other:______Faverolle-White Cochin-Barred Fayoumi-Egyptian Cochin-Black Hamburg-Silver Spangled Cochin-Blue Hamburg-Other:______BREED/VARIETY How How BREED/VARIETY How How Many? Many? Many? Many? CHICKEN BREEDS Bantam Large Fowl CHICKEN BREEDS Bantam Large Fowl Holland-Other:______Rosecombs Houdan-Mottled Seabright-Golden Houdan-White Sebright-Silver Japanese-Black Sebright-Other:______Japanese-Black Tailed Buff Serama-White Japanese-Black Tailed White Serama-Other:______Japanese-Other:______Shamo-Other:______Java-Black Sicilian Buttercup Java-Mottled Silkie-Black Jersey Giant-Black Silkie-Blue Jersey Giant-Blue Silkie-Partridge Jersey Giant-White Silkie-White Ko Shamo Silkie-Other:______La Fleche Sultan Lakenvelder Sumatra-Black Lamonas-Other:______Sumatra-Blue Langshan-Black Sussex-Light Langshan-Blue Sussex-Red Langshan-White Sussex-Speckled Leghorn-Light Brown Welsummer Leghorns-White White Faced Black Spanish Leghorn-Other:______Wyandotte-Columbian Malay-Black Breasted Red Wyandotte-Silver Laced Malay-Other:______Wyandotte-White Maran-Black Copper Wyandotte-Golden Laced Maran-Wheaten Wyandotte-Other:______Maran-White Yokohama-Other:______Minorca-Black Other Chicken:______Minorca-Buff Other Chicken:______Minorca-White PRODUCTION How Many? Modern Game-BB Red Broilers Modern Game-Lemon Blue Turkeys Modern Game-Other______DUCK BREEDS How Many? Naked Neck-Red Aylesbury Naked Neck-White Buff Naked Neck- Other:______Call Nankin Campbell New Hampshire Cayuga Rouen Old English Game-BB Red Crested Old English Game-Blue East Indie Old English Game-Gold Dkwing Magpie Old English Game-Red Pyle Mallard Old English Game-Slvr Dkwing Muscovy Old English Game-Spangled Pekin Old English Game-Other:______Rouen Orpington-Buff Runner Orpington-White Saxony Orpington-Other:______Swedish Phoenix-Golden Silver Appleyard Phoenix-Silver Welsh Harlequin Plymouth Rock-Barred GOOSE BREED (Specify Breed) How Many? Plymouth Rock-Partridge Plymouth Rock-Silver Penciled Plymouth Rock-White Plymouth Rock-Other:______TURKEY BREED (Specify Breed) How Many? Polish-Buff Laced Polish-Golden Laced Polish-Silver Laced Polish-White OTHER POULTRY BREEDS How Many? Polish-White Crest Blue Guinea Polish-White Crested Black Peafowl Polish-Other:______Other:______Red Cap MIXED BREEDS (Describe) How Many? How Many? Rhode Island Red Rhode Island White