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APPLICATIONFORCITIZENSHIPWASHINGTONFOCUSGrades1012 PLEASETYPEORPRINTCLEARLYSubmissionDate:___Nameof4HMember:___MaleorFemale:___ Treetop. O. Box:___ City/State/ZIP:___ ___YourageonJan.1thisyear:___HomeTelephoneNumber:(___)___Gradethisfall:___Yearsin4H:___ NameofParentorGuardian:___ Nameof4HClubtowhichyoubelong:___ CitizenshipWashingtonFocusisanopport
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