Print out and mail this form to find out more about joining 4-H in New
Castle County, Delaware. Mail to: NCC 4-H
910 S. Chapel St.
Newark, DE 19716-1303
E-mail Address:____________________________________________________________
Parent/guardian name(s): __________________________________________________
Child's name: _____________________________________________________________
Street Address: ___________________________________________________________
City: __________________________________ State ______ ZIP +4 ______________
Child's Birthdate (MM/DD/YY): _____________________________________________
Daytime Phone Number: _____________________________________________________
Check the activities that interest you.
____ Cooking & Baking ____ Crafts & Woodworking
____ Babysitting & Child Care ____ Clothing & Sewing
____ Environment & Nature ____ Leadership & Citizenship
____ Entomology (Insects) ____ Photography
____ Shooting Sports ____ Aerospace & Rocketry
____ Seeing Eye Dogs ____ Horses
____ Livestock ____ Rabbits
____ Veterinary Science ____ Horticulture
Do you have any additional comments or questions?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
For more information or for special consideration in accessing the facilities, email 4-h@udel.edu, or phone 302-831-8965.
Copyright © 1997-2003 NCC Cooperative Extension. Last revised March 18, 2003.
It is the policy of the Delaware Cooperative Extension System that no person shall be subjected to discrimination on the grounds of race, color, sex, disability, age, or national origin.