2019 4-H Citizenship Focus
* Citizenship themed workshops
* Panel discussions
* Distinguished speakers
* Visits with elected officials
* Off site visits in Raleigh
Cost:  $200  (scholarships may be available). $50 is due to hold your spot.  
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
E-mail *
Address *
Age (as of Jan 1, 2019) *
Shirt Size *Polo shirts will be ordered for all delegates. Please refer to the size charts below when ordering shirts. Shirts will be ordered based on the information submitted on the registration form. The shirts will be green and delegates should plan on wearing black dress pants or a black skirt with them for Legislative visits . Women: https://www.apparelvideos.com/cs/CatalogBrowser?todo=ss&productId=L572 Men: https://www.apparelvideos.com/cs/CatalogBrowser?todo=ss&productId=K572
Clear selection
Dietary Restrictions *
You must have new Enrollment, Medical and Media Releases on file.  A copy of these forms can be found here:  https://www.ces.ncsu.edu/enrollmentcombinedforms/
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of North Carolina State University. Report Abuse