Years in 4-H (Including the Current 4-H Year)

Member Name

Club Name

Grade (as of Oct. 1, 20____)

Years in 4-H (including the current 4-H year):

4-H Projects Taken This Year

My Iowa County 4-H Activity Program for 20

Club Activities

Demonstrations r Talks r

Music/Drama r Judging r

Recreation r 4-H Promotion r

Dairy Promotion r Community Service r

Club Tour r Picnic r

Officer r Committees r

r r

County Activities

Day in the Arts r Ambassador Program r

Clothing Preview r Summer Camp r

Fair Activities r 4-H Promotion r

Project Learning Day r Dairy or Livestock Judging r

Leaders Council r Foods Review r

Horse Bowl r Drill Team r

r r

District, State and National Activities

State Fair Demonstration r State Fair Clothing Preview r

State Fair Action Center r State Fair Exhibitor r

Wisconsin 4-H Conference r Art Team/Drama/Showcase Singers r

Citizenship Washington Focus r District/State Project Events r

Area Animal Science Day r State 4-H Horse Bowl r

National Congress/Conference r r

Member Signature

Date

(Optional) Parent/Guardian Signature

Date

Parent’s comments on this member’s 4-H year: