Lifetime Member Form

Please fill out the fields below with your updated information. For online payments, select Arkansas 4-H Alumni Association" (3rd option) on the AR 4-H Foundation donation page: https://uaex.formstack.com/forms/donate4h

Name *

Mailing Address

Email Address

Home Phone

Cell Phone

4-H Club(s) where you were a member with leader name in brackets. Example: My 4-H Club [My Leader]

Please enclose a picture (Head and Shoulders) for inclusion in life member directory.

Please give a brief personal description. Things might include: When you were a 4-H member; Projects; Trips; Personal benefits; Career choices; Marital status; Children; Employment; etc.