2017 Boy's Science Camp
Please enter your information to enroll in 2017 Boy's Science Camp. Please enter your Boys for Science Day by June 30, 2017.
Scientists Grow Here
First Name
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Last Name
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Grade (2016-2017 School Year)
Your answer
Age
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Address
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City
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Zip
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Parents Name
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Home Phone
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Cell Phone
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Email Address
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Club
Please Choose your club from the list below. If you are not a 4-H Member please choose the last selection "Monroe County Youth (Not a 4-H Member)".
Does your child have any allergies?
Please list any allergies.
Your answer
Medical Update
We will use the Medical Information from the 4-H Online Profile Health Form to care for your child. Please make sure you update no later than June 30th, as that will guide us in caring for your child in an emergency.
Payment
Please print the confirmation page and mail with payment to the address below. The price is $15 for each youth attending.
(If you are entering multiple youth, you may just print the final confirmation page.)
Please mail confirmation and payment to the Extension office as soon as possible.
Monroe County 4-H
14345 County Hwy. B, Room 1
Sparta, WI 54656
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