2022 YQCA Instructor-Led Sign-up
Please submit one (1) response per youth.  CLOVER KIDS are exempt and DO NOT need to take YQCA.  An adult must attend with participants 8-12 years old. Remember to bring a writing utensil.  Be there 5-10 minutes early so we can start and end on time.  For questions, call Merrick County Extension 308-946-3843, or Hamilton County Extension 402-694-6174.
Sign in to Google to save your progress. Learn more
If you would prefer to complete YQCA online, instead of instructor-led, please go to: https://yqcaprogram.org/
Participant's First Name *
Participant's Last Name *
Emergency Contact Phone #; or to text last minute changes. *
Best email for registration and coupon use after completion of class. *
Choose one (1) instructor-led class date to attend.  There is a 30 youth cap per training.  More classes to come as 4-H Clubs book with either Extension Office. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nebraska Extension. Report Abuse