2025 Goat Day Registration Form

2025 Goat Day Registration Form

This form is to register a youth participant for the 2025 Nevada County Goat Day.
Nevada County Goat day is open to all interested youth, regardless of county of residence or youth program affiliation. FFA, Grange, and Independent youth are welcome.

If you are not a current 4-h member, a liability waiver, https://4h.ucanr.edu/files/4725.pdf MUST be completed and emailed to Jill Simmons, jcsimmons@ucanr.edu, prior to the event. Members of outside organizations will not be allowed to participate without a completed and signed form. NO EXCEPTIONS.

Registration is $30 for each youth participant. Please be prepared to bring your payment on the day of the event.

CASH OR CHECK ONLY

Limited scholarships are available. For those in financial need, please contact Jill Simmons at 530-273-4563 or jcsimmons@ucanr.edu in the Nevada County 4-H office to inquire about scholarships available to Nevada County 4-H members.

Bring your own chairs, blankets, and extra drinks/snacks.

Limited pens are available, which will be first come first serve. You must set-up and tear down your own pen.

You are expected to clean up after your own animals and dispose of it off site so please bring your own muck bucket and shovel to clean up any hay or manure clumps.

If you have any questions about the form, please contact Ashley Vieira at avieirarvt@gmail.com or (530) 575-9701.
Youth Participant's Name*

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Youth Affiliation*
If youth affiliation is not applicable, please select Independent.
If 4-H what county?
If participant is not a 4-H member, a liability waiver (https://4h.ucanr.edu/files/4725.pdf) must be completed and emailed to Jill Simmons at jcsimmons@ucanr.edu prior to the event.

Members of outside organizations will not be allowed to participate without a completed and signed form. NO EXCEPTIONS.
Goat Day Path*

Lunch and Shirt Size
Select Lunch Type*
Lunch includes a drink, chips, fruit, and a cookie.
Select Participant T shirt size*

Youth SmallYouth MediumYouth LargeYouth Extra-largeAdult SmallAdult MediumAdult LargeAdult XLAdult XXL
Additional shirts and lunches can be ordered at https://form.jotform.com/250628885493067.

Family Information
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
E-mail Address*
example@example.com

Registration Fee
Goat Day registration fee is due on the day of the event in the form of cash or check only. No credit cards can be accepted.*
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Registration FeeIncludes a Goat Day t-shirt, lunch, and goodie bag.
$30.00

Nevada County 4-H Youth Scholarship RequestPlease contact Jill Simmons at 530-273-4563 or jcsimmons@ucanr.edu in the Nevada County 4-H office to inquire about scholarships available to Nevada County 4-H members.
$ Free

Total

$0.00
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