2020 Franklin County 4-H Round Up Trip Application - Career Exploration @ Purdue
Dear 4-H Member:

Congratulations!  You have been selected to participate in the 2020 4-H Round-Up, June 22-24 at Purdue University as a representative of Franklin County 4-H.  Round Up is a one-time career exploration trip at Purdue, for youth in grades 7-8, where you learn about different educational and career opportunities, experience life on a Big Ten campus, and meet youth from all across Indiana.

Please fill out the registration form below if you are interested in attending, and return with a $25 deposit by Monday, April 22.  Transportation is provided, but there may be an additional cost, depending on the number of delegates  we send.

Complete application by:  Monday, April 20, 2020
For questions contact: Angie Riffle at 765-647-3511 or ariffle@purdue.edu
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Email *
First Name *
Last Name *
T-Shirt Size *
Do you require auxiliary aids and services due to a disability? *
Required
If yes, please explain:
Do you have special dietary needs? *
Required
If yes, please explain:
Parent/Guardian(s) please check and sign below indicating that you understand that if you register your child to go on this trip and they do not attend, you are responsible for finding a replacement, or you will reimburse the Franklin County 4-H Association for the full price of the trip ($200.00). *
Required
Parent Name (will serve as signature)/Date *
A copy of your responses will be emailed to the address you provided.
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