4H STEAM Clubs
2021 Interest Survey
Email *
Parent/Responsible Party Name: *
Student Name: *
Grade for 2020-21 school year *
Required
Please indicate your schooling option.
Clear selection
How are you schooling? In-person, virtual or remote, home-schooled, or hybrid.
Please check which clubs you would like to participate in this year. *
Required
Other: Add your own club topic(s).
Some programs will arrive via USPS, others will be held as online groups. For online groups, your time preferences.
First Choice
Second Choice
Third Choice
This is impossible for our family.
Wednesday and Friday, 3:30-4:30
Wednesday and Friday at 4:30-5:30
Tuesday and Thursday, 6:30-7:30
Saturdays, 10:30am - Noon
Clear selection
Thank you for participating!
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