Clover College Registration
Please enter your information to enroll in Clover College.
Adventure Grows Here
First Name *
Last Name *
Grade *
Age *
Address *
City *
Zip *
Parents Name *
Is a parent planning to stay for the event?
Clear selection
Home Phone *
Cell Phone
Email Address
Club *
Please Choose your club from the list below. If you are not a 4-H Member please choose the last selection "Monroe County Youth (Not a 4-H Member)".
Does your child have any allergies?
Please list any allergies.
Medical Information
We will also use the medical information from the 4-H Online Profile to care for your child. Please make sure you update no later than February 1, as that will guide us in caring for your child in an emergency.
Payment
Please print the confirmation page and mail with payment to the address below. The price is $15 for each youth attending. $30 maximum per family. (If you are entering multiple youth, you may just print the final confirmation page for one entry.)
Make checks payable to Monroe Co Jr. Leaders. Please put child(ren)'s name on memo line. Please mail confirmation & payment to the Extension office as soon as possible.
Monroe County 4-H
206 South K St
Sparta, WI 54656
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