Maine 4-H Page Day Registration
Thank you for signing up for Maine 4-H Page Day in Augusta on March 14! 

If you have questions about this program please email alisha.r.targonski@maine.edu. 

Our general schedule is to arrive between 8:30-8:45am and meet in the Hall of Flags at the Maine State House for our own orientation and light breakfast. 

Paging orientation will begin around 9:30am in the House and Senate Chambers. Session begins around 10am. Session typically closes around 12pm, but may last longer. 

Lunch is on your own from around 12pm-1pm. 

You will have the ability to do a self-guided tour of the state house after lunch at 1:00pm. Unfortunately, the State house and adjacent properties are not open for tours on Thursdays and the State Museum is closed for renovations until 2025.  
Sign in to Google to save your progress. Learn more
First and Last Name *
Phonetic pronunciation of full name (example: Alisha = Ah-lee-sha). They will be announcing each youth participant as they enter.  *
Age as of March 14, 2024 *
Mailing Address Line 1 *
Town/City *
Zip Code *
Email Address *
School name (If homeschooled, write homeschool) *
Name of your local State Representative (Not sure who? Search by your town here: https://legislature.maine.gov/house/house/MemberProfiles/ListAlphaTown) 
Name of your local State Senator (Not sure who? Search by your town here: https://legislature.maine.gov/senate-home-page/find-your-state-senator)  *
Select all the activities you will be attending on March 14:  *
Required
Emergency Contact: Parent name and Phone number  *
Adult Chaperone Name and cell phone number (if different from above)
Chaperone: What will you be attending? 
Clear selection
We want this program to be a success for you! 

If you need a reasonable accommodation, please fill out this form, or contact Alisha Targonski directly at alisha.r.targonski@maine.edu by March 7. If requests are received after this date, we may not have sufficient time to make the necessary arrangements.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Maine System. Report Abuse
Google Forms