4-H & Clover Kids Interest Form

4-H & Clover Kids Interest Form

Fill the form below and Louisa County Program Director of 4-H, Samantha Jamison, will contact you to help you choose a club and get enrolled in 4-H or Clover Kids.
Parent/Guardian Full Name *

First Name Last Name
Child's Full Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
School *
Grade *
If it is summer, enter the grade that you are entering in the fall.
County I live in *
How did you find out about 4-H/Clover Kids?

Family Friends School County Fair Iowa State Fair
Is there a particular 4-H/Clover Kids club you are interested in joining?
If not, Samantha will help you find a club!
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