Gwinnett County 4-H Re-Enrollment

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Welcome back 4-H'ers! We are thrilled to have you returning for the 2023-2024 4-H Year. Please note after enrollment is submitted you will receive one email from our enrollment site after we have entered your new year information into our system. The email will have a link to the 4-H code of conduct and online programs agreement. You will need to complete this link in order to be fully active for the 4-H year.

Club Name *

Cloverbud Council (Grade K-4)

Cloverleaf Council (5th Grade)

Junior Council (Grade 6-8)

Senior Council (Grade 9-12)

Horse Club (Grade 5-12)

School Name *

Grade *

First Name *

Last Name *

Middle Name

Preferred Name

Address

City

State

Zip Code

Birthdate *

YYYY

Gender *

Email *

Email Secondary

Cell Phone

T-shirt Size

Race and Ethnicity (Check all that apply) (Optional)

White

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

Hispanic or Latino

Are you a member of a military family (Please select this box if you have a parent or legal guardian who is actively serving in any branch of the military)

Yes

Clear selection

Select your residence *

Farm

Rural - under 10,000

Town - under 50,000

Suburb of City over 50,000

City of over 50,000

Unknown

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