Participant Information

We are excited to have you join us!  Please take a few minutes to answer the registration questions below. Thank you!

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* 1. First and Last Name

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* 2. What is your mailing address?

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* 3. What is your email address?

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* 4. What is your parent/legal guardian's email address?

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* 6. What is your gender?

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* 8. Check one (for statistical purposed only)

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* 9. Check one (for statistical purposes only)

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* 10. I live:

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* 11. I am currently in a 4-H club:

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* 12. I would like to receive the weekly online 4-H newsletter to learn about additional youth programs and opportunities.

0 of 12 answered
 

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