CLOVERBUD COVER SHEET

Name:________________________________________________________________  Age:________

Address:___________________________________________________________________________

            (Street)                                                   (Town/City)                          (State)              (zip code)

Telephone:___________________________________     Birthdate:____________________________

                                                                                                    (Month)               (Day)           (year)

Name of 4-H Club:___________________________________________________________________

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

Tell us all about yourself, your family, your pets, and what you did in 4-H this year!  Include some pictures of yourself and your 4-H activities!  You may add more pages!

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