4-H Marianas Enrollment Form (2023-2024)
Please answer the following questions to the best of your ability. There are sections of this form that require parent/guardian attention.

 No question on this form is intended to secure information to be used for such discrimination.

Additionally, there are eight sections that need to be completed. Please allot an ample amount of time to fill out each section thoroughly.

Section 1 - Email Address (required)
Section 2 - 4-H Information
Section 3 - Demographics
Section 4 - Social Media
Section 5-  Parent Contact Information
Section 6 - Emergency Contact
Section 7 - Registrant/Parent Signature
Section 8 - Permission Slip and Assumption of Risk and Release

If you have any questions about any of the information that is being asked in this form, please do not hesitate to contact any of the 4-H advisors.
 
Saipan:
Robbie Suzuki | robert.jr.suzuki@marianas.edu | (670) 237-6845
Tayna Belyeu-Camacho | tayna.belyeu-camacho@marianas.edu | (670) 237-6841

Tinian:
Jacklynn Sanchez | jacklynn.sanchez@marianas.edu | (670) 433-9235

Rota:
Tonica Barcinas | tonica.barcinas@marianas.edu | (670) 783-1802

Northern Marianas College CREES is an equal opportunity educator and employer. 

"Northern Marianas College CREES is committed to providing access and reasonable accommodation in its services, programs, activities, education, and employment for individuals with disabilities. For more information or to request disability accommodation contact: Margaret Kintol at crees@marianas.edu or call (670) 237-6840."  
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