Parent Name *

Please provide your first and last name for us to reach you.

First Name

Last Name

Phone

(OPTIONAL) Provide a phone number for us to reach you at.

(###)

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Child/Children's Grade(s) *

Please select the grade or grades of your child or children.

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

13th Grade (one year out of high school)

Select Clubs (at most 3) *

Please select at most three ( 3 ) clubs your child or children may be interested in.

4-H Area14 Robotics Club (Grades: 4 - 13)

4-H Beacon Bots (Grades: 4 - 13)

4-H Beekeeping Club (Grades: K - 13)

4-H Computers (Grades: 6 - 12)

4-H Garden & Bee Club (Grades: 4 - 13)

4-H Go Kart Club (Grades: 4 - 13)

4-H Go-Kart Juniors (Grades: 2-3)

4-H Magicians Guild (Grades: 4 - 13)

4-H Master Chefs (Grades: 4 - 13)

4-H Quilting STEP Club (Grades 4-13)

4-H Young Inventors STEP Club (Grades 6-8)

Alpaca Club (Grades: 4 - 13)

Anime & Manga Club (Grades: 7 - 13)

Branchburg Beef, Dairy and Livestock (Grades: 4 - 13)

Broken Props Model Airplane (Grades: 4 - 13)

The Business Club (Grades: 4 - 13)

Chaps & Spurs (Grades: 4 - 13)

Chess Club (Grades 1 - 3)

Chinese Culture Club (Grades: K - 13)

Cloud Computing Club (Grades: 4 - 13)

The Clover Ensemble (Grades: 4 - 13)

Crafty Clovers (Grades: K- 3)

Crafter Masters (Grades: 3 - 8)

Crazy Frog Hoppers (Grades: 4 - 13)

Da Bug Club (Grades: K - 13)

Discovery Prep (Grades: K - 3)

Dollars & Sense Finance Club (Grades: 4 - 13)

Farm to Fork (Grades: 2-13)

Furry Friends (Grades: K - 13)

Game On! Club (Grades: 3 - 13)

Gingersnaps (Grades: K - 13)

Handy Sew & Sew (Grades: 2 - 3)

Hawkeye Archers (Grades: 4 - 13)

Hippity Hoppity Happy Handlers (Grades: 1 - 13)

Hip-Hop Hoppers (Grades: K - 3)

Huggable Hares (Grades: k-13)

Just Kidding (Grades 4-13)

K-9 Leaders Seeing Eye Puppy Club (Grades: 4 - 13)

Little Woofers (Grades: 1 - 3)

Mad Scientists (Prep) (Grades: K - 3)

New Centre Dairy (Grades: 4 - 13)

New Centre Dairy Prep (Grades: K - 3)

On Target Archery Club (Grades: 4 - 13)

Outdoor Club (Grades: 3 - 7)

People Pick-Me-Ups (Grades: 1 - 13)

Photo Bombers (Grades: 4 - 13)

Pins & Needles (Grades: 4 - 13)

The PREP Ensemble (Grades: K - 3)

Prep Chefs (Grades: 1 - 3)

Proud 2B PREP (Grades: K - 3)

Puppet Design Prep Club (Grades: 1 - 3)

Puppetry Club (Grades: 4 - 13)

Radio Control Car Club (Grades: K - 13)

Role 4 Initiative (Dungeons and Dragons) (Grades: 6 - 13)

Senior Council (Grades: 8 - 13)

Servos 4-H Robotics Club (Grades: 4 - 12)

Sew it Seams (Grades: 4 - 13)

Sheepfold (Grades: 4 - 13)

Sidewinders Club (Grades: 4 - 13)

Somerset 4-H Trainmasters (Grades: 4 - 13)

That's Sew Crafty (Grades: K - 13)

Twirling Clovers (Grades: 2- 13)

Wags & Whiskers (Grades: 4 - 13)

Wattles & Snood (Grades: K - 13)

Woof (Grades: 4 - 13)

Woolly Ones (Grades: K - 13)

I would like more information about volunteering to help my child's club.

Yes

No