Embryology School Enrichment Sign-Up Form
It's that time again! If you are interested in participating in the Embryology School Enrichment Program for the 2021 school year. If you have any questions, please feel free to contact me at 704.283.3735 or via e-mail at crystal_starkes@ncsu.edu or Rachel Owens, Livestock Agent at 704.283.3739 or e-mail rachel_owens@ncsu.edu. Please sign up by Friday, February 5 at 11:59 pm. You will be notified of the schedule no later than Friday, February 12.

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School *
Grade *
Contact Name *
Contact Phone Number
Contact E-mail Address *
Best Way to Contact You *
How many incubators will you need? *
**Keep in mind, we have a limited amount to be distributed/session. This does NOT guarantee your school that number although we try to accommodate as much as possible.** In your answer, please include the minimum number(s) that it would take to successfully complete embryology at your site. Each classroom will receive egg turners this year to provide extra safety precautions. Please keep this in mind when making your request.
Please pick your 1st, 2nd, 3rd, 4th choices for the week you wish to complete the embryology program. *
Please note, if these dates do not work with your schedule, you may contact the 4-H office to reschedule. Please mark only one oval per row.
1st Choice
2nd Choice
3rd Choice
4th Choice
Incubator Drop Off - February 15, Eggs Arrive - February 16, Chicks & Incubator Pick Up -Thursday, March 11
Incubator Drop Off - March 8, Eggs Arrive - March 9, Chicks & Incubator Pick Up - Thursday, April 1
Incubator Drop Off - April 13 , Eggs Arrive - April 13, Chicks & Incubator Pick Up - Thursday, May 6
Incubator Drop Off - April 26, Eggs Arrive - April 27, Chicks & Incubator Pick Up - Thursday, May 20
Are you willing to pick up at a central location?
Clear selection
Is this your first time participating in the embryology program? *
Will your group require training on the embryology program?
Clear selection
Do you understand that as a part of my partnership with Union County 4-H, we are responsible for providing demographics for the program's federal report? *
Each participating classroom or the lead contact will be responsible for submitting this form. For your convenience, the form can be completed online https://goo.gl/forms/2nnLfePzQhb0Swp33.
Do you have any additional comments or need any accommodations? Please explain.
Submit
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