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Get Photo Of New Member Registration Form For Club

Please complete this form and return it to your county 4-H office. Today s date: 4-H County: 4-H Cloverbud (grades K 3) What type of 4-H member: Yes Current 4-H Member: No 4-H Member (grades 4 13) Current Grade: School: First Name: MI: Last: Birth date: Primary Phone: Work Phone: Cell Phone: youth (or) parent Other Phone: Parent e-mail: Youth e-mail: Active Army Air Guard Active Marine Corps If mili.

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