Club Name:

General Club Leader:

Does your club plan to participate in the 2007-2008 4-H year? Yes No

How does your club participate in 4-H? General Organization Family Club Special Interest

Is your club accepting new members? Yes No
(this question does not apply to individual family clubs)

What is the primary grade group(s) of your club?

Primary (K-2)
Juniors (3 -5)
Intermediates (6-8)
Seniors (9-12)

What day, time, and location does your club hold their monthly meeting?

Does your club hold separate project meetings as well? Yes No

Please list the main project area(s) your club plans to participate in:

How would you like to receive the Whatcom 4-H News? Electronically By US Post Both

Please list names and e-mail addresses for any leaders, parents or club members who would like to receive the Whatcom 4-H News electronically.
example: Ima 4-HLeader - Ima4hleader@wa4h.com
(Parents and Members may only receive the Whatcom 4-H News electronically.)

What training topics do you think would benefit your 4-H members and their families?