4-H & Clover Kids Interest Form

4-H & Clover Kids Interest Form

Fill the form below and a Louisa Extension staff will contact you to help you choose a club and get enrolled in 4-H or Clover Kids.
Parent/Guardian Full Name*

First NameLast Name
Child's Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
School*
Grade*
If it is summer, enter the grade that you are entering in the fall.
County I live in*
FamilyFriendsSchoolCounty FairIowa State FairOther
Is there a particular 4-H/Clover Kids club you are interested in joining?
If not, Samantha will help you find a club!
Should be Empty: