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2024-2025 Record Book Registration
Please use this form to register your record book submission.  The email provided below will be used for all record book and award information.  Please make sure that it is checked regularly.
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Email *
COMPLETE THIS FORM AT HOME BEFORE YOU DROP YOUR RECORD BOOK OFF AT THE EXTENSION OFFICE.  RECORD BOOKS ARE DUE ON MONDAY, JUNE 2, 2025, BY 5 PM.

We will have plastic bins at the entrance of our office for you to come by and drop off your record book.  Please make sure you fill out this form at home before you leave your house.  Thank you.
Name of 4-H Member submitting record book: *
Parent Phone Number *
Date of Birth  (mm/dd/yyyy) *
What is your age? *
What Grade where you in 2024-2025 4-H year? *
What is your 4-H Grade level? *
Name of Primary Club?
*
Are you planning to attend the June 6th Awards Reception? *
Required
How many members of your family attending?
*
Record Book Category *
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