Record Book Request
Record books will be distributed to club leaders once requested, or can be picked up during office hours, 8:30-4:30 Monday - Friday at the UW-Extension office one week after requesting. Learn more about record books at
Little Black Bears
Youth name: (First, last)
Grade in school (September 2016-May 2017)
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of University of Wisconsin Cooperative Extension.
Terms of Service