REGISTRATION for 4-H Leaders and Others Youth Program Volunteers
For this pilot program, you will need to keep track of the time you spend at this on-line site.
Question
Response
California County
Amador
Butte
Calaveras
Colusa
Merced
Orange
San Luis Obispo
Sonoma
Sutter
Tuolumne
Date: 00/00/0000
Name
Gender
Female
Male
Address
City
State and Zip Code
Phone Number with Area Code
E-mail address
Are you a 4-H leader or volunteer?
Yes
No
If no, what youth organization do you represent?
Number of years as a 4-H or other youth program leader including this year.
1
2-5
6-10
11-20
over 20
4-H Unit/Group Name
Intended EatFit project start date
Project end date
Total number of youth expected in this project
Please enter the number of students by grade.
7th grade
6th grade
8th grade
9th grade
Other
How did you hear about this web site?
Click the "save information" button to send your registration. On next page, click "close window" to return to EatFit home page. Click the "Start here if registered" button to proceed. You will need the ID/username and password you received from your UCCE county office.
