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2019 Nash County 4-H Summer Camp Registration
This online form will be used to sign your child up for the camps we have available.Please make sure your child is the correct age to attend the camp before signing them up. See the list of camps on our website for the full descriptions. We will try to monitor it several times a day and delete camps as they fill up. We would like you to be aware that some camps will fill up before they are deleted from this form. You are not guaranteed the slot until full payment is made. If the camp fills up we will add your child's name to the waiting list. You have the option to come into our office or mail a check. Once you have paid your camp slot is locked in. Thank you for being patient with our new process that we hope is a great success! If you have questions please send an email to
amy_ormond@ncsu.edu
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Youth's First Name
Your answer
Youth's Last Name
Your answer
Youth's Age( as of Jan 1st, 2019)
Choose
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Youth's Grade Level
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Mailing Address
Your answer
Gender
Female
Male
Clear selection
Ethnic Group
Hispanic
Non-Hispanic
Clear selection
Race
White
Black
Asian
Indian
Other:
Clear selection
Where do you live?
Farm
Town under 10,000 population
Town or City between 10,000 & 50,000 population
over 50,000 population
Other:
Clear selection
Parent / Guardian Name
Your answer
Parent/Guardian Phone #
Your answer
Parent/Guardian Email
Your answer
Child's Shirt Size (y-youth) (a-adult)
Some camps will provide a shirt for participants(Criminal Justice, CSI-Biotech & Ag Safety Day)
Your answer
Below is the list of summer camps available for 2019 . Please click all the camps you are planning to attend. Make sure you click the correct date and camp. Once we receive your requests we will invoice you via email listed. You will also have an option to come into the office and pay by cash or check if needed.
Nashville Horse Camp- Half Day ( July 22nd-24th) Max 16
Ag Safety Day (July 25th) Max 20
Day on the Farm (July 22nd-24th) Max 15
Quadpods Skillathon Camp (July 23rd-25th) Max 8
Medical Academy (July 29th-July 31st) Max 20
Any Known Allergies?
Your answer
How do you plan to pay?
Cash (in our office)
Check (in our office or mailed to 1006 Eastern Ave Nashville, NC 27856)
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