Participant Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Parent(s) Name *

First Name

Last Name

Phone *

(###)

###

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Projects enrolling in: *

Poultry

Pigeon

Lego/Robotics

Cavy

Pygmy Goat

Cloverbuds

Rabbit

Parent/Grandparent: I can help volunteer:

We occasionally need help with project meetings, club meetings and Cloverbuds.

I can help with club meetings

I can help with project meetings

I can help with cloverbuds

A grandparent can help with cloverbuds

Code of Conduct Parents *

Parents: I will remember that this is 4-H, not the olympics. I will treat all kids parents and anyone involved in 4-H with respect. I will bring any issues to the club leaders. I will not bring any drama or gossip into our club meetings, shows or the fair. I will be involved in all aspects of my kids 4-H year to the best of my ability. I understand that a violation of these rules will result in a meeting with the extension agent and further violations will warrant the removal of my family from this club.

I Agree

Code of Conduct Participants *

I will remember that this is 4-H, not the olympics. I will treat other kids, parents and anyone involved in 4-H with respect. I will bring any issues to the club leaders. I will not bring any drama or gossip into our club meetings, shows or the fair. I will be respectful of others at our meetings and activities. I understand that a violation of these rules will result in a meeting with the club leaders and further violations will warrant the removal of my family from this club. I will have fun, learn and always do my very best!

I Agree