✻ = Required

California 4-H State Record Book Competition

Intent to Submit

This form should be completed by Senior members who are planning to submit their 4-H Record Books to the State Competition. Electronic submission via this survey is preferred, though a paper version of this form can be found here: http://4h.ucanr.edu/files/207081.pdf

First Name ✻

Last Name ✻

County

In preparation for the California 4-H State Record Book Competition, (select all that apply) ✻

I am using the most current Record Book forms available on 4h.ucanr.edu I will submit this form by September 30, 2019 I will submit my Record Book to my 4-H County Office for review by a staff member and completion of the County Check Sheet before my county's deadline.

To certify that the information provided on this survey is correct and accurate to the best of your knowledge, initial here. ✻

Intent to Submit Form for State Record Book Judging

California 4-H State Record Book Competition

Intent to Submit