2022 KANSAS 4H AND FFA WHEAT VARIETY PLOT ENROLLMENT

(DEPARTMENTPROGRAM NAME) UNIVERSITY OF ARKANSAS STRATEGIES FOR IMPROVEMENTMAINTENANCE RESULTING
112008 SS5071 PAGE 1 OF 1 ARKANSAS STATE HIGHWAY
11400 PAGE 2 OF 2 ARKANSAS STATE HIGHWAY AND

121511 SS8041 PAGE 1 OF 1 ARKANSAS STATE HIGHWAY
1221 W 103RD STREET 303 KANSAS CITY MO 64114
137 STATE OF ARKANSAS PROCUREMENT LAW AND RULES SEPTEMBER

2006 Kansas 4-H FFA Wheat Variety Plot

2022 Kansas 4-H and FFA Wheat Variety Plot Enrollment Form (September 2021-September 2022)


For full details about the Wheat Variety Plot Program, visit: http://www.kansas4-h.org/events-activities/conferences-events/wheat/wheat-variety-plots/index.html. There is no fee this year for the five varieties of wheat provided for your plot. Seed companies are again donating the seed to Kansas 4-H.


Please complete all areas for each individual or one entry per group


County/Chapter: ______________________ Agent/Instructor: ____________________


Agent E-mail:_________________________ Office Phone: _______________________


1. Name: ______________________________ Youth birth date: __________Age:______


Address: _____________________________ Phone: ______________________________


City/Zip: _____________________________ Cell Phone: _________________________


Family E-mail:______________________________________________________________


Status: New________ Re-enroll:________


2. Name: ______________________________ Youth birth date: __________Age:______


Address: _____________________________ Phone: ______________________________


City/Zip: _____________________________ Cell Phone: _________________________


Family E-mail:______________________________________________________________


Status: New________ Re-enroll:________


3. Name: ______________________________ Youth birth date: __________Age:______


Address: _____________________________ Phone: ______________________________


City/Zip: _____________________________ Cell Phone: _________________________


Family E-mail:______________________________________________________________


Status: New________ Re-enroll:________


4. Name: ______________________________ Youth birth date: __________Age:______


Address: _____________________________ Phone: ______________________________


City/Zip: _____________________________ Cell Phone: _________________________


Family E-mail:______________________________________________________________


Status: New________ Re-enroll:________


Return by July 23, 2021 to: Deryl E. Waldren

E-mail: [email protected] KS 4-H Wheat Program Coordinator

Phone: 303-349-7403 660 W. 5th St.

Colby, KS 67701


1B EWARE OF BROKEN GLASS ARKANSAS WORKERS’ COMPENSATION COMMISSION
1UNITED STATES DISTRICT COURT DISTRICT OF KANSAS UNITED STATES
2021 KANSAS BIG YEAR RECORDING RULES PARTICIPANTS WHO SUBMIT


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