New Interest Form

Waldo County 4-H Interest Form

Name(Required)

First Last

Age

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Interest Areas(Required)

Agriculture/Food Systems

Science, Technology, Engineering, Art, and Math

Healthy Living/Youth Mentorship

Civic Engagement

Outdoor Leadership

What is the best way for staff to get in touch with you to provide informaiton on 4-H opportunities?

If there is a particular program area or event that you are interested in please provide that information below.

Would you like to receive the Waldo County 4-H newsletter?

Yes