Palo Pinto County 4-H Honor Roll Award Application

Palo Pinto County 4-H Honor Roll Award Application
Eligibility: 3rd, 4th, and 5th Grade 4-H Members

Award may be received only once.

If you have any questions, please contact the Extension office at 940-659-1228.
Name of 4-H Member

First NameLast Name
Name of Parent or Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Gordon 4-HGraford 4-HMineral Wells 4-HPalo Pinto County 4-H Shooting SportsSanto 4-HStrawn 4-HSturdivant 4-H in Mineral Wells

Rows	3rd Grade	4th Grade	5th Grade
Participate in a minumum of one project.
Complete a Palo Pinto County 4-H Project Record Form or submit a complete 4-H Record Book. More information is available at https://palopinto.agrilife.org or by contacting the Extension office at 940-659-1228.
Tell a 4-H Leader (other than your parent) about what you have done in your project.
Give a demonstration, talk, prepare an exhibit or participate in a 4-H contest related to your project(s). Participating in a livestock show or other 4-H Contest at any level would meet this requirement.
Attend 2/3 of regular club meetings.

Rows	3rd Grade	4th Grade	5th Grade
Serve on a committee or as an elected officer.
Participate in a 4-H Contest.
Participate in a county-wide activity.
Bring a parent/guardian to 50% of regular club meetings.
Help with a community service project.
Turn in a complete 4-H Record Book.