JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
4-H Summer Palooza'20
Extended Registration-----Deadline Fri. 7/16/20, unless, you are registering for 4-H DIY Cool Crafts due 7/15/20
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Skylar
*
Your answer
Alston
*
Your answer
Participating Youth's Age
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Cynthia Alston
*
Your answer
252-431-4036Parent's best contact telephone number
*
Your answer
Please select all 4-H Summer Palooza'20 session you are registering to participate. First Come! First in!
*
"See it Sprout" July 16 - Aug. 14 $7.00
Read! Lead! Succeed! July 16, 23, 30, and Aug. 6 and 13 $7
DIY 4-H Cool Crafts July 15, 16, and 17 $7
4-H Pen Buddy Project July 17, 24, 31, and Aug. 7 and 14 $7
Required
I understand, I must visit
warren.ces.ncsu.edu
to review the 4-H Summer Palooza'20 brochure to review program description, ages, date, etc.
*
Yes, I will visit
www.warren.ces.ncsu.edu
My child is enrolled on nc4honline.
*
Yes
Not yet, I will enroll him or her before the start of the 4-H activity.
Required
I understand that all registration fees must be paid before the start of the 4-H activity. Checks made payable to Warren County Cooperative Extension
*
Yes
First and Last name of adult registering your child to participate in Warren County 4-H Summer Palooza'20 Program
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University.
Report Abuse
Forms
