Auerfarm 4-H Club Interest Form
If your child is interested in enrolling in the Auerfarm 4-H Club, please complete this form for each child that is interested in participating. Please note that all parents of 4-Hers are expected and encouraged to participate as volunteers during the 4-H Club meetings.
Email address *
Was your child enrolled in 4-H in the past year? *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Year of Birth *
Your answer
Current Grade Level *
Your answer
Child's Gender
Child's email address (if applicable)
Your child will be included on emails about 4-H meetings and events.
Your answer
Child's cell phone number (if applicable)
Your child will receive texts about changes in 4-H meetings. Please enter numbers only in this field.
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian's Phone Number *
Please enter only numbers in this field, no special characters or spaces.
Your answer
Primary Address (Line 1 & 2) *
Please fill in your home number and street, apartment number, etc.
Your answer
City *
Your answer
Zip Code *
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of 4-H Education Center at Auerfarm.