Parent/Guardian Name * Street Address * City * State * Zipcode * County * Please indicate the Illinois county where you live so we can connect you with the local Extension staff near you. Ages Please list the ages of each child wishing to join 4-H Interests * Check the project areas your child may wish to learn more about. Livestock and Horses Food Health Community Engagement Intercultural Awareness Leadership Creative Arts and Crafts Pets Photography Speaking_Writing Science, Technology, Engineering, Robotics Theater Welding Woodworking Environmental and Outdoor Learning Gardening Plants Shooting Sports Contact * Please indicate how you would like to be contacted about joining 4-H Call me at the number below Email me at the address below Email * Phone Note Please provide any other information you would like us to know so we can find a 4-H club which best meets the needs of your child. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 6 + 10 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.