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* 1. First Name

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* 2. Last Name

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* 3. e-mail address

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* 4. County

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* 5. State

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* 6. What is your gender?

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* 7. What is your 4-H Role?

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* 8. Please describe your race/ethnicity.

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* 9. Which of the following best describes your ethniciy?

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* 10. What is your age?

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