2018 NCD Fall Fun Registration

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Please fill out a form on each youth attending and the adult(s) who will attend. Deadline Oct 10, 2018 at NOON.

Email *

First Name *

Last Name *

Age of youth (11-18) *

Allergies/Dietary Needs

Checks or money order for $10 can be written to: Forsyth County 4-H. Payments will be accepted at the office. Email dmpearc3@ncsu.edu to check your 4-H Scholarship Dollars balance, if you would like to use those funds. Payment is due by NOON on October 10th. NOTE: Mrs. April will NOT be in the office on October 10th, so Mrs. Monique is your contact 336-703-2856.

A copy of your responses will be emailed to the address you provided.

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