Lamar County 4-H Enrollment Form 2025-2026
Welcome to the 2025-2026 year of Lamar County 4-H!  We are so excited that you are interested in being a part of our program!  Please complete and submit the following form to become an official member of the Lamar County 4-H Program!  
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E-Mail-Adresse *
First, Middle Initial and Last Name of child *
School *
Homeroom Teacher's Name *
Grade during the  2025-2026 school year *
Mailing Address *
City *
Zip Code *
Child's date of birth *
Datum
Child's gender *
Race and ethnicity (check all that apply) *
Pflichtfrage
Is the child's mom or dad actively serving in any branch of the military? *
Residence *
First Parent's Information: First and Last Name *
First Parent's Information: Gender *
First Parent's Information: Email *
First Parent's Information: Cell Phone *
First Parent's Information: Relation to the child *
Second Parent's Information: First and Last Name
Second Parent's Information: Gender
Second Parent's Information: Email
Second Parent's Information: Cell Phone
Second Parent's Information: Relation to the child
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Does the child have any health concerns that you would like to share wit the Extension office?
The Lamar County 4-H  program has a variety of activities in which your child can be involved.  Please check those activities that may be of interest to your child.  Your child will be added to an email list to receive more information on that activity.  We look forward to seeing you and your child involved in the Lamar County 4-H Program! *
Pflichtfrage
Would you like to receive our monthly newsletter?
 *
I hereby grant permission for Lamar County Extension/4-H and the Barnesville-Lamar County Library, its employees or representatives, to take and use photographs, videotape and/or digital images of my child's exhibit for use in promotional and educational materials.
 *
The University of Georgia College of Agricultural and Environmental Sciences (working cooperatively with Fort Valley State University, the U.S. Department of Agriculture, and the counties of Georgia) offers its educational programs, assistance, and materials to all people without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status and is an Equal Opportunity, Affirmative Action organization.
Congratulations, you are now a member of the Lamar County 4-H Program!
Sie erhalten unter der von Ihnen angegebenen E-Mail-Adresse eine Kopie Ihrer Antworten.
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