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4-H Enrichment Programs Request
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County:
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School or Program Name:
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Grade/age of youth:
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Your name:
*
Your answer
Phone:
*
Your answer
E-Mail:
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School Programs
*
Please select all programs that you are interested in
Chemistry
Electricity
Rocketry
Wind
Robotics
Embryology
The Three Sisters
Meet the Creatures
Other:
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Semester:
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Please select the semester you would like to have the programming.
Fall
Spring
Either
Comments:
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