Hyde County 4-H ~ Christmas Eve Boxes

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Hyde County 4-H will be randomly selecting 15 lucky youth to receive an awesome Christmas Eve box full of goodies and family fun activities!!! The boxes will be delivered the week of Christmas to the winners doorstep. We wish you all the best and hope that you have an incredible holiday season!!! This form is DUE by Monday, November 30th. Please email lee_brimmage@ncsu.edu if you have any questions or concerns.

Email *

Youth First Name *

Youth Last Name *

Youth Gender *

Female

Male

Prefer not to say

Other:

Youth Age *

Youth Grade Level *

Youth Pajamas Size *

XXL

Other:

How many siblings live in this child's home? *

Parent/Guardian Full Name *

Physical Address (this is where the boxes will be delivered) *

Mailing Address *

Parent/Guardian Cell Phone Number *

I understand that Hyde County 4-H will randomly select winners of the Christmas Eve boxes and my child may not receive one if not chosen. *

Yes, I fully understand.

If my child is chosen as a winner of the Christmas Eve box, I agree to take a photo and submit it to the Hyde County 4-H Extension Agent to post on their official social media accounts and county websites. *

Yes, I will submit a photo to Hyde County 4-H and permit them to use it for 4-H marketing.

A copy of your responses will be emailed to the address you provided.

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