Marshall County 4-H Home school Group
Student First and Last Name *
Student's Birthday (month, date, year) *
Parent/Guardian Name *
Parent's Email
Street Address *
City *
Phone Number *
Student's Grade (as of 1/1/20) *
Race/ Ethnicity *
Gender *
4-H Project Areas (Select up to 3 you are interested in learning more about)
Clear selection
4-H Interests (Select Programs that would be of interest to your child)
Clear selection
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