Georgia 4-H Enrollment V2

Enroll in Georgia 4-H -- Glynn County

Please Select your School and Club. Then fill out all of the appropriate information..

Student Information
* required CLUB_NAME:
* required SCHOOL_NAME:
* required GRADE:
* required FIRST_NAME:
* required LAST_NAME:
* required DATE_OF_BIRTH:
  Race and Ethnicity (check all that apply) (optional)
  Black or African American
  American Indian or Alaska Native
  Native Hawaiian or Other Pacific Islander
  Hispanic or Latino


Other Information

  Are you a member of a military family?
(Please select this box if you have a parent or legal guardian
who is actively serving in any branch of the military.)
* required Select your residence
Enter text from the image to the right:
(Do not include spaces)
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The University of Georgia College of Agricultural and Environmental Sciences (working cooperatively with Fort Valley State University, the U.S. Department of Agriculture, and the counties of Georgia) offers its educational programs, assistance, and materials to all people without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status and is an Equal Opportunity, Affirmative Action organization.