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20182019 MAINE 4H MEMBER ENROLLMENT First Name: ___ MI: ___ Last: ___ Email: ___ Mailing Address:___ City: ___ State: ___ Zip: ___ Birth Date: ___ Primary Phone: (Gender: male female)___ Mobile Phone

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Cornell Cooperative Extension Saratoga is a non-profit organization that provides educational programs and resources to residents of Saratoga County in New York.

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