West District 4-H Teen Retreat Registration
Dear 4-H Families: Thank you for your patience as we adapted 4-H Teen Retreat to a virtual format. We are holding two exciting workshops where participants will learn Cherokee Stories and how to "Lead the Way" using their 4-H experiences. Elections will be held for West District Officers. You will be receiving a West District 4-H Teen Retreat Shirt with your registration fee ($12 - contact your 4-H Agent regarding payment).
Participant First Name *
Participant Last Name *
Parent/Legal Guardian Full Name *
Parent/Guardian Email Address *
Youth Email Address (Optional, if you would like your child to receive the 4-H Teen Retreat Zoom link directly)
Is your child an active 4-H member in 4-H Online? *
This is a requirement since voting for District 4-H Officers takes place at Teen Retreat.
County of 4-H Participation *
Youth Age *
Are you campaigning for State 4-H Office? *
Ethnicity
Clear selection
Race
Clear selection
Gender
Clear selection
T-shirt Size (Adult Sizes) *
Please read the North Carolina 4-H Youth Development Program Liability Waiver, Assumption of the Risk, Photo & Media Release, and Indemnification Agreement: https://nc4h.ces.ncsu.edu/wp-content/uploads/2020/05/North-Carolina-4-H-Liability-Waiver_May2020.pdf?fwd=no *
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Please make your selection below: *
Please make your selection regarding the North Carolina 4-H Youth Development Program Liability Waiver, Assumption of the Risk, Photo & Media Release, and Indemnification Agreement. *
Please read the North Carolina 4-H Program Expectations & Parental Permission: https://nc4h.ces.ncsu.edu/wp-content/uploads/2020/05/Program-Expectations-and-Parental-Permission_May2020.pdf?fwd=no *
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Participant Agreement: *
Parent/Legal Guardian Agreement: *
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