UT TSU Knox County 4-H Enrollment Form

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Welcome to Knox County 4-H

Email *

What is your Child's first name? *

What is your Child's Last Name? *

Was your child enrolled in 4-H last year? *

Yes

If your child was enrolled in 4-H last year, was it in Knox County 4-H? *

Yes

Where does your child go to school? *

What is your child's grade in school? *

Who is your child's homeroom teacher? *

What is your street address? *

City? *

Zip Code *

What is your child's birth date? *

YYYY

What is the best phone number to reach a parent or guardian? *

Is there another phone number that you would like to add to your enrollment form?

UT Knox County 4-H does not discriminate against anyone regardless of race, gender, or disability. We report our enrollment to the state and federal government annually. Therefore, we ask you to check the box or boxes that best describe your race. *

American Indian/Alaskan Native

Asian

Black/African American

Native Hawaiian/Other Pacific Islander

White

Other

Required

What is your ethnicity? *

Hispanic

Non-Hispanic

Unidentified

What is your gender? *

What is your parent or guardian's name? (First and Last) *

Would you like more information on volunteering in 4-H?

Yes

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We collect the following information for reporting purposes. Describe where you live. *

I live on a farm where we raise animals and or crops

I live in a rural area where the population is under 10,000 people

I live in a town or city where the population is 10,000 to 50,000

I live in a suburb of a city with a population over 50,000

I live in a city with a population over 50,000

Are you interested in joining a specific Knox County 4-H project group? If yes, which one(s)? If you have already joined one of these groups, be sure to mark it here.

Small Engines

Rabbits

Reptiles

Healthy Living

Line and Design

Outdoor Adventures

Livestock (Farm Animals)

Dog

Sheep

Beef

Horse

4-H Chick Chain

4-H has 29 different projects to choose from. Some have meetings and some are self-study. Which project(s) are you interested in? (Select your top 3 Choices) *

Beef (raising, showing, and/or learning about beef cattle)

Citizenship (how to be a good citizen)

Clothing and Textiles (fashion, design, sewing)

Communications/Public Speaking (speaking, storytelling through writing, videos, art)

Companion animals (learning about cats, dogs, rabbits)

Computers and Technology

Consumer Education/Economics (how to be a smart shopper, how to manage money)

Creative Arts and Design (Arts and Crafts)

Dairy (raising, showing, and/or learning about dairy cattle)

Electric (circuits, energy, power sources)

Engineering/Safety Science (how to build things, how to be safe)

Entomology/Beekeeping (insects)

Entrepreneurship

Food Science (what are the ingredients of foods, how are they processed, food variety)

Forestry, Wildlife, and Fisheries (trees and animals in forests, forest ecosystems, fishing)

Goat (raising, showing, and/or learning about goats)

Horse (raising, showing, and learning about horses)

Horticulture/Garden (learning about taking care of plants and gardening)

Leadership (how to lead groups and be a good example for others)

Nutrition/Health/Fitness (eating healthy, exercising, health issues)

Performing Arts/Recreation (singing, dancing, sports, games)

Personal Development (how to set goals and reach them)

Photography (taking better photos, learning about photography equipment)

Plant Science (learning about how plants grow and multiply)

Poultry (raising, showing, and/or learning about chickens)

Sheep (raising, showing, an/or learning about sheep)

Swine (raising, showing, and learning about pigs)

Veterinary Science (learning about animal health issues)

Required

4-H has judging teams where teams meet for a specific period of time to learn materials for a contest to see which team knows the most about a subject. Mark all that interest you. *

Consumer Decision Making (9th-12th grades only)

Dairy (6th-12th grades only)

Dairy Products (9th-12th grades only)

Forestry (6th-12th grades only)

Horse (4th-12th grades)

Land (6th-12th grades only)

Life Skills (6th-8th grades only)

Livestock (6th-12th grades only)

Meat Science (6th-12th grades only)

Outdoor Meat Cookery

Poultry (4th-12th grades)

Wildlife (4th-12th grades)

Required

Would you like to be added to our email list for upcoming 4-H events and activities?

Yes

No thank you

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Thank you so much for enrolling in Knox County 4-H. Are there any other questions/comments you have?

A copy of your responses will be emailed to the address you provided.

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