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  Cloverbud Activity Record

For a printable version of this form click here

University of Maine Cooperative Extension
Maine 4-H Cloverbud Activities Record

 

My name is_____________________________________________________________

My birthday is:  month__________ day_________  year_______ My 4-H age is:_____ 

My 4-H club or group is___________________________________________________ 

My county is____________________________________________________________ 

4-H Activities in my record are:   __________________________________ 

                                                  __________________________________ 

                                                  __________________________________ 

                                                 __________________________________ 

                                                 __________________________________ 

                                                 __________________________________

 

4-H Life Skills I used in my activities this year:

Life Skills Wheeld

Here is how I used the four Hs from the Life Skills Wheel in my activities this year:

(continued)

Head:  __________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

Heart: __________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

Hands:  ____________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

Health: ____________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

 

 

 

Name_________________________________

My 4-H Story about

 My __________________Activity

(Use a separate page for each activity listed on the front)

 

What did you do?________________________

_______________________________________

_______________________________________

 

What did you learn? ______________________

_______________________________________ 

_______________________________________

 

What did you like best about the activity? _______________________________________ 

_______________________________________ 

_______________________________________ 

 

Name_________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attach a photo or drawing about your activity

What does your photo or drawing show?_______________ 

________________________________________________ 

________________________________________________ 

________________________________________________ 

________________________________________________

Name_________________________________

For more information on educational programs in your area, contact your county Extension office


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