Jackson County 4-H Member Interest Form

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Are you interested in joining Jackson County 4-H?

Fill out this form and we'll reach out to you soon! We're excited to hear about your interest!

If you haven't heard from us within three weeks, please call 541-776-7371 and ask to speak with the 4-H program!

Email *

Parent/Guardian First and Last Name *

Guardian Phone Number *

Guardian Email Address *

Youth Age(s)

As of September 1, 2023

County of Residence

If you are interested in or affiliated with a specific active club, which club is it? *

N/A if you aren't!

What project area(s) are your child(ren) most interested in?

Check their first, second, and third interests below!

First Choice *

Second Choice *

Third Choice *

Feel free to share any additional interests below!

What area of Jackson County would you like your club to be located in? *

How did you find out about Jackson County 4-H? *

Are you, the parent/guardian, interested in volunteering? If so, what kind of volunteer work are you interested in doing? *

Starting a club

Supporting an existing club

Teaching a specific project area (e.g., dairy goats, art, photography, horticulture, etc.)

General 4-H program assistance (office support, event support, etc.)

After-school or in-school enrichment

Camp

I am not interested in volunteering at this time

Other:

Required

Send me a copy of my responses.

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