Cloverbud Connection: Farm Fun

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Join us for a fun day at the Frying Pan Farm Park! Open to youth ages 5-8.

Date: May 18th, 2024, 11 am - 1 pm

Please email ipearson@vt.edu with questions! Space is limited

Youth's Last Name *

Youth's First Name *

Parents Email Address *

Parents Phone Number *

Date of Birth *

YYYY

Gender *

Male

Female

Non-Binary

Prefer not to say

Race *

African American

American Indian & Alaska Native

Asian

Caucasian

Native Hawaiian & Other Pacific Islander

Two or More Races

Ethnicity *

Hispanic

Not Hispanic

Club *

Fairfax City 4-H Club

Falls Church City 4-H Club

Sam Clemens

2 B A Bee

Hampton Horsefeathers

Hoofers & Heifers 4-H Club

Krazy 4 K9's

Virginia Trotters

4-H Club of Ft. Belvoir Homeschoolers

Ft. Belvoir Masters

Ft. Belvoir Youth

Independent

Not a 4-H member

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