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Huron County Goat Club
2023 4-H Club Registration
For members and parents to sign up for the 4-H Huron County Goat Club
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Participant (Members Name)
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Preferred Name
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Members Birthdate (Participants must be 9 years of age as of Jan 1, 2023.)
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MM
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YYYY
Age as of Jan 1, 2023
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Your answer
Participant ID # (4-H member, off your digital 4-H Participant Card) emailed separate from your registration from 4-H Ontario. If you are a New member and have not received this number please type "NEW" . Please provide number to leaders once received.
Your Participant ID does not change from year to year. This is your unique ID, we require this number to ensure proper credit is given.
To register as a 4-H Member for 2023 visit:
https://4-hontario.jotform.com/222515509640250
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Home Association
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Huron County
Other:
Email (where club information should be communicated)
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Address (civic address) with postal code
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Parent/Guardian Name
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Parent/Guardian Email
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Your answer
Parent/Guardian Phone Number
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Emergency Contact Name (Secondary)
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Your answer
Emergency Contract Number (Secondary)
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Your answer
Emergency Contract Relationship to Participant (Secondary)
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Parent/Guardian
Aunt/Uncle
Grandparent
Other:
Allergies/Dietary/Medial/ or Behavioral Details (anything that you think leaders should be aware of)
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Media Release , you are consenting to having pictures and names released in media, digital and/or print.
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