4-H Adventure Camp Registration
2018 Camp Registration
Email *
Camper First Name *
Camper Last Name *
Parent First Name *
Parent Last Name *
Street Address *
City *
State *
Zip (5 digit) *
Phone - Primary (no dashes) *
Phone - Secondary (no dashes) *
Is Camper currently enrolled 4-H Member? *
County *
Gender *
Grade completed June 2018 *
Date of Birth *
MM
/
DD
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Age (as of January 1st, 2018) *
Camp Choice *
**To sign up for multiple camps, complete 1 form per camp
Payment options *
T-Shirt Size (Adult Sizes) *
Roommate Request (must be reciprocal)
How did you hear about Camp? *
Transportation to camp? Included with registration fee. *
Transportation from camp? Included with registration fee. *
I understand that the 4-H Adventure Camp Director and Adult Staff, with the assistance of camp counselors are responsible for making sure the safety and well being of my child is consistent for the entire camping time. I understand that if the above named participant does not conduct him/herself properly and in agreement with the policies and procedures, I will be notified and he/she may be sent home at my expense. Sign below. *
To enrich education through diversity the University of Idaho is an equal opportunity/affirmative action employer and educational institution. Persons with disabilities who require alternative means for communication or program information or reasonable accommodations need to contact Dana Gillespie in writing, danag@uidaho.edu or 322 E Front suite 220, Boise ID 83702, at least 1 week prior to camp.
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