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Star Wars-themed LEGO Camp Registration for 4-H members (free!)
Fill out this form for EACH individual youth participant in your household or participating organization.
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* Indicates required question
Youth Participant First and Last Name
*
Your answer
Preferred Email Address where information will be sent:
*
Your answer
Phone Number:
*
Your answer
Mailing address where information can be sent:
*
Your answer
Participant's Grade Level as of Sept. 14, 2020:
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
One year past high school
Youth Participant Race
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Two or More Races
Prefer Not to Indicate
Other:
Required
Youth Participant Ethnicity
*
Hispanic or Latino
Not Hispanic or Latino
Prefer Not to Indicate
Other:
Required
Do you require an accommodation to participate in this activity?
Yes
No
Clear selection
Do you need LEGOs in order to participate in this Camp?
Yes
No
I have extra LEGOs I would be willing to give to someone who does not have any.
Clear selection
How did you hear about this activity?
*
School
Library
Newspaper
Radio
TV
Facebook
Friend
Other:
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