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 Name
Last Name
Child's Full Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School
*
If it is summer, enter the grade 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
Other
Is there a particular 4-H/Clover Kids Club you are interested in joining?
If not, Melissa will help you find a club!
Submit
Should be Empty: