2023 YOUTH CAMPER REGISTRATION

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2023 YOUTH CAMPER REGISTRATION

2023 4-H Summer Camp - Sunday, June 25 - Saturday, July 1, 2023

Lazy W. Ranch, 23852 Hot Springs Road, San Juan Capistrano (map)

Registration Fee: $295. Due Friday, June 16, 2023

Not a 4-H Member? All youth are welcome! Non-members will be required to enroll into the California 4-H Youth Development Program in order to participate. An enrollment fee of $62 will be required. Enrollment instructions are provided on our website and later in this form.

Payment Options: Registration will be able to be paid by credit card or check. Payment options will be mentioned later in this form.

Got questions? Feel free to contact Kelly, Head Adult Director, at landshark311@gmail.com.

Email *

Last Name *

First Name *

Street Address *

City/State *

Zip Code *

Phone Number *

Gender *

Male

Female

Nonbinary

Other:

Age *

Birth Date *

YYYY

How many years have you attended Summer Camp? *

I am on Staff *

Yes

Camper's email

Parents email *

T-Shirt Size *

XXL

XXXL

Other:

Enrolled in 4-H *

Yes

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