Youth / Family Sign-up
The 4-H Mentoring: Youth & Families for promise is designed to match a young adult mentor with a youth between 10 to 15 years old. Please answer the following questions below and a 4-H Site Coordinator will contact you shortly.
First name (Youth)
Your answer
Last name (Youth)
Your answer
Age:
Your answer
Parent/Guardian name (First, Last)
Your answer
Parent/Guardian phone number:
Your answer
Parent/Guardian email:
Your answer
City?
Your answer
What Elementary/Jr. HS does your child attend?
Your answer
How did you hear about the program?
Does your child have any behavioral, emotional, or academic concerns we should be aware of?
Your answer
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