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Waukesha 4-H Interest Form
Please complete this form if you may be interested in our 4-H program and would like further information from us.
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* Indicates required question
Parent Name(s)
*
Your answer
Grade Range of Children (select all that apply)
5K- 2nd Grade (Cloverbuds)
3-6 grade
7-9 grade
10-13 grade
Address
Your answer
City
Your answer
Zip
*
Your answer
Phone
Your answer
Email
*
Your answer
Are you interested in a specific Club?
Your answer
Are you interested in any specific Projects? (ie: horse, archery, drawing, etc)
Your answer
How did you hear about 4-H?
*
Family are alumni
From a Friend
School
Social Media
County Fair
Other:
What aspects of joining 4-H are most important to your family?
Your answer
Are you interested in becoming an adult 4-H volunteer?
Yes
No
Maybe
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