Maine 4-H Poultry and Rabbit Team Interest Form

This form indicates your interest to participate in the 2026 Eastern States 4-H Poultry and Rabbit team, either with an animal or as a teen leader. This form alone does not enroll the member on the team, but expresses your interest in participating. Team members must have participated in the 4-H program for at least one year and be at least 12 years old by December 31, 2025.

Name(Required)

First Last

I am interested in (check all that apply)(Required)

Participating in the Maine 4-H Poultry Team

Participating in the Maine 4-H Rabbit Team

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Your Email Address(Required)

Your Parent/Guardian's Email Address(Required)

County of 4-H Enrollment(Required)

I am 12 - 18 years old as of December 31, 2025, and have completed at least one year in 4-H.(Required)

Yes

T-shirt Size (Please specify if youth or adult)