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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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