Auerfarm 4-H Club Waitlist & Interest Form

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Currently the Auerfarm 4-H Club is full.

Please fill out this form if you would like to be added to the waitlist and/or to hear about future opportunities including special interest meet-ups.

Complete this form for each child that is interested in participating.

Email *

Child's Last Name *

Child's First Name *

Child's Year of Birth

Child's Current Grade Level

Town?

Caregiver's Last Name

Caregiver's First Name *

Caregiver's Phone Number
*

Interest Level *

Add my child to the Auerfarm 4-H Club waitlist.

We would like to hear about special interest group meet-ups being planned this year.

Required

Please select any interests your child might like to explore:

Select all that apply

Art

Legos

Cooking

Small Engines

Gardening

Photography

Carpentry

Other:

For caregivers would you be interested in becoming an adult volunteer for 4-H?
*

Yes

Not at this time.

Required

Comments:

Thank you and see you at the farm!

Send me a copy of my responses.

Submit

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