JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Interested in 4-H?
Please fill out this form and you will be contacted by the Ventura County 4-H Office shortly !
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Phone number:
Your answer
Name (First, Last)
Your answer
I prefer to be contacted by:
Email
Phone
Ways to Volunteer
I am interested in the program as a_______ participant
Youth member
Adult Volunteer
Parent (not official volunteer)
Do you have an previous experience with 4-H?
Yes, I participated in 4-H growing up
Yes, as an Adult Volunteer
Yes, my children were previously enrolled in 4-H
No, but I am familiar with 4-H
No previous experience
Other:
Do you already have a club in mind ?
I would like more information !
Bardsdale (Filmore)
Briggs (Santa Paula)
Conejo (Simi Valley)
Heritage (Ojai)
Las Posas( Camarillo)
Loma Vista (Ventura)
Mupu (Santa Paula)
Piru Canyon (Piru)
Sespe (Filmore)
Somis (Somis)
Santa Rosa Valley (Santa Rosa Valley)
Have you already been in contact with any 4-H Club leaders?
Yes
No
Other:
Clear selection
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
