The Alabama Cooperative Extension System
 
 Thursday, February 9, 2012
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4-H Alumni Information Card

Please Provide the Following:
 

 

Name:
Maiden Name (if applicable):
Address:
City:
State:
Zip:
E-mail:
Phone : () 
Years in 4-H:
From:  to:

Check Which of the Following Applies:

Former 4-H Member
Current 4-H Leader
Former 4-H Leader
Current 4-H Volunteer
Former 4-H Volunteer
 Other (describe):

 

Name of Club:
County
4-H Projects Involved in:
 Awards/Honors:
 
 

Would You Like to Continue to be Involved with the 4-H Program? 

 
   

Yes
No

 
 

Are your children 4-H'ers?

 

Yes
No
   

 

   

 Tell a favorite memory:

 

 To submit photos send to the following email:

greencd@aces.edu

 


Thank you!


 
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