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2019 July Teen Camp Registration
July Teen Camp July 8th - July 12th, 2019
Email address *
Email *
Your answer
Camper First Name *
Your answer
Camper Last Name *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip (5 digit) *
Your answer
Phone - Primary (no dashes) *
Your answer
Phone - Secondary (no dashes) *
Your answer
Is Camper currently enrolled 4-H Member? *
County *
Gender *
Ethnicity *
Demographics (Community) *
Grade completed June 2019 *
Date of Birth *
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Age (as of January 1st, 2019) *
Your answer
Payment options $255 by 6/8, $295 after 6/8 *
T-Shirt Size (Adult Sizes) *
Roommate Request (must be reciprocal)
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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. *
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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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