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2024 Nevada County 4-H Goat Day Scholarship Application and Registration

Scholarship application for 2024 Nevada County 4-H Goat Day

This Scholarship application/registration is due by May 12th at 5 p.m. No exceptions.

Scholarships available to current 4-H members. Please fill out one scholarship application per youth.

The parent/guardian of an eligible youth for which a Goat Day scholarship is requested must complete this form. While the registration fee is waived for the 4-H member, it is still paid by local fundraising efforts within the county.

JUNE 1, 2024

8:00 am to 12:30 pm

Grand Finale Stables

14565 Wolf Road

Grass Valley, CA 95945

Scholarship application deadline - May 12, 2024, at 5 p.m.

Registration includes lunch and a t-shirt

Lunch included with youth registration

Additional lunches available for purchase at the event for $7. Cash only.

Additional t-shirts available for purchase at the event for $12. Cash only.

Lunch options:

Hamburger
Hot dog
Veggie burger
All come with water, chips, cookie

✻ = Required

Youth First Name: ✻

Youth Last Name: ✻

Youth Age: ✻

Email: ✻

Phone number with area code: ✻

In which county are you a 4-H member? ✻

Nevada Placer Sutter-Yuba Butte

Are you requesting a scholarship for Goat Day registration because your family's monthly household cash income is at or below 185% of the Federal Poverty guidelines, or if your family qualifies for the CalFresh program. (Reference: https://www.fns.usda.gov/cn/income-eligibility-
guidelines)

OR, there is a reason other than CalFresh eligibility that you are requesting this financial aid, such as extraordinary family circumstances. ✻

Yes No

Will you be bringing goats?

There will be no stalls or pens. Please keep large goats in trailers and small goats in crates. ✻

Boer Pygmy Dairy breeds No I am not bringing goats

If you are bringing goats, how many goats will you be bringing?

T-shirt size ✻

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large

Please select lunch choice

Hamburger Hotdog Veggie Burger

Order extra lunches and t-shirts here: https://forms.gle/viRAthXyZCMrcrT47