Wyoming 4-H Alumni 
(Member or Leader)
Registry

Thank you for taking time to fill out the following information. 
It will be added to our data base of Wyoming 4-H Member and Leader Alumni

Required responses are indicated with a *

Information boxes shaded in green are optional.
I am registering as a Wyoming 4-H Alumni for the first time.
I have previously registered, but want to update my information. For example, I'm changing my address.
I am unsure if I have previously registered as a Wyoming 4-H Alumni.
I am a 4-H Alumni from a different state 
Personal Information:
* First Name
 
* Last Name
 
Middle Initial
Maiden Name
Spouse First Name
Spouse Last Name
Spouse Middle Initial
Spouse Maiden Name
Contact Information:
* Address
Address (optional extra line)
* City
* State
* Zip
County of residence

E-mail
Phone
Fax
Alternate address
(i.e. Winter address)
Alternate Address
(optional line 2)
Alt. Address City
Alt. Address State
Zip

THANK YOU - all required information is now completed!
You may go directly to "submit" button by clicking here
Work Information:

Employer (Business) Name

Work Phone

Employer (Business) 
Address

Employer (Business) Address - optional extra line

Employer (Business) City

Employer (Business) State

Employer (Business) Zip

Profession

Job Title

I am interested in helping 4-H make a connection with my employer

You may go directly to "submit" button by clicking here
Connections to 4-H as a Youth:
Former 4-H Community Club Member (indicate primary decade of involvement)
If above is checked, indicated how many years you were involved
State in which you were involved:
County in which you were involved in:

You may go directly to "submit" button by clicking here
Connections to 4-H as an Adult:
Parent or Family member of a current 4-H Member
Adult Volunteer

You may go directly to "submit" button by clicking here
Participation in 4-H Activities:
4-H Judging Team
Denver Western 4-H Roundup
State 4-H Ambassador
State 4-H Officer
Citizenship Washington Focus
National 4-H Conference
National 4-H Congress
International Exchange

State Fair Participant

You may go directly to "submit" button by clicking here

4-H Memories:
Please feel free to share a 4-H related story or memory:


You may go directly to "submit" button by clicking here
Future 4-H Involvement:
I would like more information about serving as a 4-H Adult Volunteer

I would be willing to work in the 4-H Alumni Booth at the Wyoming State Fair
I would like to receive the 4-H Alumni and Friends on-line newsletter

Thank you for taking time to fill out this form!