Alumni Registration

Thank you for your interest in becoming a member of the Utah 4-H Alumni Association.  Please complete this form below.  This information will be used to help keep you informed about opportunities for you to be involved as an active alumni member. 

Make the Utah 4-H Alumni Connection.

First Name: :
Last Name: :
Maiden Name If Applicable: :
Phone: :
Street Address: :
City: :
State: :
Zip Code: :
E-Mail: :
Years In 4-H: :
Year Started: :
Year Ended: :
County of Participation: :
State of Participation: :
Are or Were Your Kids Involved in 4-H? :



Type of Work That You Do: :
Your Place of Employment: :
Name of College or University Attended: :
What 4-H Clubs or Trips Were You Involved With? :
Would You Be Interested in Being a Volunteer 4-H Club Leader in Your Area? :
If So, What Are Your Areas of Expertise? :
Would You Like to Be Involved in a 4-H Alumni Association in Your Area? :
Any Stories, Thoughts, or Experiences That You Would Like to Share About 4-H or How 4-H Has Affected Your Life? :
Are There Any Special 4-H Leaders, Educators, or Other Friends Made A Difference in Your 4-H Experience or Life? If Yes, Please Share: :
Do You Know of Any Other 4-H Alumni? If So Please List Below: :
Please Check If We May Share Any of Your Information in Our 4-H Marketing Materials or on This Web Site: :






Would You Like to Receive the Free 4-H Alumni Newsletter? :


   

For Members
Alumni Login Calendar e-Newsletter