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New England Galloway Group Heifer Project - New England Galloway Group Heifer Project Application Form

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Please use the printable PDF version of this form.

Deadline for Entry:  December 31, 2013

 

Name: ______________________________________________________

Farm Name:  _________________________________________________

Address: ____________________________________________________

City: __________________    State: ________  Zip: ______________

Phone: _________________________________    Age: ____________

Parents Names: _______________________________________________

Parents Signature: _____________________________________________

4-H Member? Yes_____ No____     FFA Member? Yes______  No _____

Do you have cattle currently?  ____________________________________

What type of cattle, livestock have you handled prior to this application?__________________________________________________

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Briefly summarize your 4-H or FFA animal projects to date and the achievements connected with these projects.  Pictures are invited to be included with your information. ___________________________________________________________________

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Briefly summarize other activities and achievements.

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Provide the names of 3 persons (non-related) who will give you support with the project.

1.         __________________________________________________

2.         __________________________________________________

3.         __________________________________________________

Briefly describe why you want a Belted Galloway heifer.

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What would be your first 3 goals once you received your heifer?

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Describe in detail your facilities for keeping and raising this heifer and how you would provide for her feed, water, shelter and vet care.  Who would help you if you were sick, out of town or unable to care for the animal?  Have them sign at the bottom that they accept the responsibility for helping care for the heifer.

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Signature of helper: __________________________________________________

I recommend this 4-H/FFA Club member in his/her application for the Belted Galloway heifer.

Date: _________________________

4-H/FFA Club Leader:  _______________________________________

Telephone: _____________________

If I am awarded this Belted Galloway heifer, I agree to participate in the Belted Galloway Youth Group and complete the record book.  I will also compete with my animal at two recognized shows for the first year.  I will breed my heifer to a registered Belted Galloway bull.  I agree to provide updates on the status of the heifer twice a year, on August 15th and March 15th.  I realize I have the option of either returning the first qualified heifer calf to the New England Galloway Group (NEGG) or purchasing the heifer for the price of $1,000. (one thousand dollars).  If I choose to return the heifer to the NEGG, I will return it at weaning, or seven months old, halter broken and with suitable vaccinations.

Applicant’s Signature: ___________________________________

Date: _________________________

I support my son’s/daughter’s application for the Belted Galloway Heifer Project.  As a condition of this award, it is understood and agreed that the New England Galloway Group (NEGG) reserves the right to, at all reasonable times, enter upon my premises to inspect the heifer calf to insure that it is being provided for in a clean, wholesome manner, and in keeping with the basic and humane animal care and handling practices.  If the animal is not being kept to the standards herein described, the NEGG has the authorization to retrieve the animal from the applicant’s care and terminate his or her participation in the project.  I/We understand that cooperation with the NEGG is necessary for the success of this project, and will fully comply with their guidelines and decision.

Applicant’s Signature: ___________________________________

Date: _________________________

Please return completed application to:

Meghan Bickford
62 Main Street
New Durham, NH 03855-2201

Tel. (603) 859-2611


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