Returning Volunteer Form

WELCOME to the 2023-2024 4-H year! ​

Volunteers are the back-bone of the 4-H Program and assist with positive youth development. Individual interests and cooperation become a major factor in determining an individual's overall experience throughout the 4-H year and volunteer leaders play an important role in helping 4-H member's achieve their best!

Thank you for taking on this Volunteer role with 4-H PEI!

The Prince Edward Island and Canadian 4-H Councils protect your personal information by adhering to all legislative requirements with respect to privacy. We use your information to provide services, to keep you informed about 4-H activities, for statistical and research purposes, to satisfy government and regulatory obligations and to potentially contact you regarding new 4-H initiatives.

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Email *
First Name: *
Last Name: *
Name of 4-H Club: *
Phone Number
(please include the number used most often)
 *
Secondary Phone Number
Mailing Address: Civic # and Road/Street *
Mailing Address: Community, Town or City *
Mailing Address: Postal Code *
Health / Medical Info - Please share any allergies or medical conditions of which the 4-H Office should be aware

*If this DOES apply, please detail below, listing any allergies, food sensitivities or medical conditions of which we should be aware - IF any, please identify symptoms, treatment and any medications for this member

*If this DOES NOT apply please type N/A
 *
Do you live on a farm? *
Sharing of Personal Information:
Do you give permission for 4-H PEI to share your information (including Name, e-mail address, and in some cases, phone number) with other 4-H PEI Volunteer Leaders in effort to share project resources, experience and project information?
 *
Photo Release:
Do you give permission for 4-H PEI to use your name and/or image as gathered from various 4-H Events/Activities for promotional and educational material for the 4-H Program
 *
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