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4-H Interest Form

Complete this form and a local 4-H educator will be in touch to discuss the opportunities available to you and the special child in your life.

Name of Parent or Guardian
First Last
County*
Email*
Phone
What would you like to be contacted about?*
- Interest in having a child become a 4-H member
- I’m interested in being a 4-H volunteer
- I’m an alumnus of 4-H and would like to keep in touch
- I’m interested in supporting 4-H financially or through donations of materials or space for projects
Project interests

Whether joining a club or volunteering, knowing the projects of interest can help us match a 4-H club.
Comments
Consent*
I understand that my information will be used for contact follow-up.
Phone
This field is for validation purposes and should be left unchanged.

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