2022 Homemade For the Holidays 4-H Workshop! 3rd-6th Afterschool Club Enrollment!
Join 4-H Extension Staff Kara Wells and let your creativity be free!  Design your own gift wrap, create a string art ornament, and learn how to use royal icing on sugar cookies to share with a friend, neighbor or family member. 

4-H AFTERSCHOOL is a collaborative effort of Merrick County 4-H, UNL Extension in Merrick County, and the University of Nebraska – Lincoln. The 4-H Youth Development program abides with the nondiscrimination policies of the University of Nebraska–Lincoln and the United States Department of Agriculture.
Sign in to Google to save your progress. Learn more
Email *
Choose your site (2-5pm), limited to the first 12 students at each site. 
 *
Please send fee ($10.00 non 4-H, or $5.00 Merrick 4-H member) with your student or drop payment off at the UNL Merrick County Extension Office, 1784 Fairgrounds Roads, Central City, (308)946-3843. 

CHECKS PAYABLE: MERRICK 4-H COUNCIL. 
To enroll, or re-enroll in 4-H, go to: https://v2.4honline.com/ 
Student's First Name *
Student's Last Name *
Grade in School (3rd-6th) *
Any allergies or concerns staff should know about? *
In case of emergency, PHONE # you may be reached between 1:30-5:00 p.m. *
Parent/Guardian Signature (person filling out form first, last name). *
Are you enrolled in 4-H? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nebraska Extension. Report Abuse
Google Forms