Lafayette County First Year Member Award

Pettis County Distinguished Clover Kid Award

1.  This award is offered to all Cloverkids in Pettis County and is based on the following score sheet.

2.  All nominees will be recognized at the Member/Leader Recognition Banquet in November.

NAME AGE ______BIRTHDATE

ADDRESS CLUB

MEMBER’S SIGNATURE ______PARENT’S SIGNATURE______

1) Five points for the first year of 4-H work completed ______

2) Two points for each club meetings attended this year ______

3) Two points for giving a demonstration at a club meeting this year ______

4) One point for each 4-H activity participated in during the last year ______

List the activities on the back of this form. (Club or county picnics, parties, etc).

5) Five points for attending Clover Kid Day Camp ______

6) Two points for each county event or contest that you participated in ______

Demonstrations, Clothing Selection, Fashion Revue, Public Speaking, Horse Lead-Line,______

7) One point for each County 4-H exhibit ______

8) Five points for each State Fair Clover Kid Day exhibit ______

or demonstration

TOTAL SCORE ______

Revised 2015