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4-H Consumer Survey 2020-2021
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* Indicates required question
Family Last Name:
*
Your answer
Email to be used for meeting information:
*
Your answer
Kid #1 Participating in Program this Year (First and Last Name):
*
Your answer
Kid #2 Participating in Program this Year (First and Last Name):
Your answer
Main Cell Phone Number to Reach You:
*
Your answer
Hotel Breakfast on day of contest (Check all that apply)
I am ok with not having breakfast made by the hotel
My family must have a breakfast made by the hotel
I am not staying with the 4-H group because of the breakfast
I would be willing to pay extra to have the hotel open early for breakfast
I would rather stay another hotel that provided breakfast early and free (while less for breakfast like Embassy)
Are you planning to attend District Consumer this year? (April 19 2021)
*
Yes
No
Other:
What night(s) will you be staying in Cleburne?
*
Sunday ONLY
Saturday and Sunday
Friday-Sunday
Other:
Bed Option for Cleburne:
King
Double Beds
I am not staying with 4-H group
Clear selection
Do you need a Consumer Polo? First shirt- $15 and Replacement shirt- $30
*
Yes, 1st Shirt
Yes, Replacement Shirt
No
Shirt Size: (Do not mark if you do not need one)
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Clear selection
Will you be selling butter braids this fall to help with hotel expenses?
*
Yes
No
Submit
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