Family Fun & Fitness 2020 Online Registration
This is pre-registration for Family Fun & Fitness Day to be held on Sunday, January 26, 2020, 2:00 to 5:00 p.m., at Faith Church, 1589 11th St N., Wahpeton. Please fill out separate registrations for everyone in your family who will be participating in the sessions. If adults will not be participating (observing or helping youth), just fill out the registration for each youth participating. Open to all youth--does not have to be a member of 4-H.
Please select a different activity for each session.....no repeats please. If a session is full, we will contact you with an alternative activity for that session.
Any youth age 7 and under should be accompanied by a parent or guardian. Any youth age 8 or over attending without a parent or guardian will need to fill out the health form found at
https://www.ag.ndsu.edu/richlandcountyextension/4h-and-youth
.
The cost for this event is $5.00 per family--cash or check to Richland County 4-H, payable at the door. Richland County 4-H will also be collecting food items for the Richland/Wilkin Food Pantry!! Thank you!
* Required
Participant Name
*
Your answer
Youth or Adult?
*
Youth
Adult
Grade of youth
*
Your answer
Age of youth
*
Your answer
Parent/Guardian Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
Youth is:
Male
Female
Clear selection
Youth lives:
On a farm
Rural area/non-farm
Town under 10,000
Town over 10,000
Clear selection
Race of youth
Caucasian
Hispanic
American Indian/Alaskan Native
African American
Asian/Pacific Islander
Other
Clear selection
Youth is a member of Richland County 4-H
Yes
No
Clear selection
Choose one activity for Session 1 (2:00-2:50 pm)
*
Break Out Challenge
Valentine Hoop Art
Macrame
Slime
9 Square in the Air
None
Choose one activity for Session 2 (3:00-3:50 pm)
*
Break Out Challenge
Valentine Hoop Art
Macrame
Minute to Win It
Slime
None
Choose one activity for Session 3 (4:00-4:50 pm)
*
Break Out Challenge
Valentine Hoop Art
Macrame
Minute to Win It
None
Other:
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