EmailMeForm
Coryell 4-H Academic Online Status Request Form
2021-2022 4-H Year (Sept. 1 - Aug. 31)
Name of 4-H Member
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First
Last
Parent Phone #
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Email:
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My Child is in the
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Choose a Grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
at (Campus Name)
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Gatesville Elem.
Gatesville Intermediate
Gatesville Junior High
Gatesville High School
Evant ISD
Jonesboro ISD
Oglesby ISD
Copperas Cove High
Copperas Cove Jr. High
S.C. Lee Junior High
Clements/Parsons Elem.
Fairview/Jewell Elem.
Halstead Elem.
House Creek Elem.
Williams/Ledger Elem.
Mae Stevens Elem.
Martin Walker Elem.
Other (please list)
Please check one:
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Public School
Private School
Home School
4-H Activity/Event
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West Texas Fair - Abilene
State Fair - Dallas
HOT Fair - Waco
Coryell County Youth Fair
Ft. Worth Livestock Show
Austin Livestock Show
Houston Livestock Show
San Angelo Livestock Show
San Antonio Livestock Show
Texas Elite Showcase
County 4-H Contest/Event
District 8 4-H Contest/Event
Other (please list event)
Project(s) to be exhibited:
*
Ag Product ID
Ambassador Duties
Breeding Gilt
Breeding Heifer
Breeding Sheep
Calf Scramble
Consumer Decision Making
Food Show/Food Challenge
Horse Judging
Livestock Judging
Market Barrow
Market Goat
Market Lamb
Market Steer
Photography
Plant ID/Range
Quiz Bowl
Other (please list)
Parent/Guardian Signature:
**We (member and parent/s) understand that follow-up details on the member's participation will be provided to schools as required.
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As parent or legal guardian of the aboved mentioned 4-H member I agree that typing my name below serves as my valid signature.
Signature of Parent/Guardian:
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First
Last
Date of Request
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MM
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DD
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YYYY
This information is requested in accordance with the requirements of Senate Bill 1 and in cooperation with the Texas Education Agency and local public school board policies. This form serves as the official notification of the 4-H member's intent to participate in one or more extra-currcular activities representing 4-H.