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Humboldt County 4-H Yearly Club Information Update and Planning Report

2021-2022 Program Year

Hello Club Leaders! Thank you for taking the time to share with us your club's information updates! We can't wait to share this with the community and update 4hOnline - so please be accurate and fill out the form as completely as possible.

If you have any questions please contact Dorina (dmespinoza@ucanr.edu) or Jennifer (jlzink@ucanr.edu) at the 4-H Office. You can also call us at 707-445-7351.

✻ = Required

Club Name: ✻

Dates of all community club meetings for each month, be specific please since this information will be on the website.

✻

Regular meeting Date & Time:
(i.e. First Friday of the Month 6:30pm) ✻

Regular Meeting Location:

✻

Do you need an update or new Facility Use Agreement for this meeting location?

Please remember that Facility Use Agreements are only good for one year. ✻

Yes No

Social Media Page(s) Address(s):
i.e. Facebook, Instagram, Pinterest ✻

Club Leaders

Is the info for each Club Leader EXACTLY the same as last year?

(If "yes" you may skip these questions unless new information needs to be added) ✻

Yes No

Primary Club Leader Name:

Primary Club Leader Email:

Primary Club Leader Phone:

Assistant Club Leader Name & Duties:

Assistant Club Leader Email:

Assistant Club Leader Phone:

Assistant Club Leader Name & Duties:

Assistant Club Leader Email:

Assistant Club Leader Phone:

Assistant Club Leader Name & Duties:

Assistant Club Leader Email:

Assistant Club Leader Phone:

Assistant Club Leader Name & Duties:

Assistant Club Leader Email:

Assistant Club Leader Phone:

Assistant Club Leader Name & Duties:

Assistant Club Leader Email:

Assistant Club Leader Phone:

Project Leaders

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Project Leader Name & Project:

Officers

President:

✻

Email: ✻

Vice President:

✻

Email: ✻

Treasurer:

✻

Email: ✻

Secretary:

✻

Email: ✻

Reporter:

✻

Email: ✻

Sergeant at Arms:

✻

Email: ✻

Historian:

Email:

Quarter Master:

Email:

Healthy Living:

Email:

Song Leader:

Email:

Other Officer:

Email: