Hatch, Milk & Grow 4H Interest Form
Preferred Name of Participating Child
Participating Child DOB
MM
/
DD
/
YYYY
Participating Child Shirt Size
Participating Child Gender/Preferred Pronouns
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Guardian 1 Name
Guardian 1 Email
Guardian 1 Phone Number
Guardian 2 Name
Guardian 2 Email
Guardian 2 Phone Number
County of Residence (children from surrounding counties are allowed to participate).
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Feel free to use this space to ask any questions or provide us with any information regarding your family you feel we need to know (participant is a foster child, food/bee allergies, child resides with grandparents, accommodations needed, etc...)
I am aware that all participants and accompanying caregivers will be required to wear a mask, social distance, have their temperatures taken and sanitize hands at each in person meeting.
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