Betsy-Jeff Penn 4-H Summer Camp 7.10.22

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Betsy-Jeff Penn 4-H Summer Camp 7.10.22 - 7.15.22

Summer residential camp is open to youth ages 8-17. Traditional Campers are ages 8-12, Adventurer Campers are ages 12-14, Trekkers are ages 12-14, LIT (Leaders In Training 15-17).

This is only an interest form. Your space will not be fully registered until you pay your deposit ($50) and registration forms are completed. Contact the office with any questions (336) 372-5597. Camp is open to youth 8+ (age is at time of camp). Please fill out a new form for each camper.

Cost for camp is $525 per youth for the week for Traditional or Adventurer Campers. $575 for Trekker Campers. A $50 deposit is due at time of registration. $100 is due beginning of April. Balance is due prior to attending camp. If you cancel after paying your deposit you must cover the cost of camp or find a replacement camper.

Email *

Camper is : *

Female

Male

Prefer not to say

Name of Camper *

Name of Parent or Guardian *

Mailing address *

Age (at time of camp) - must be at least 8 *

I want to be a : *

Traditional Camper (ages 8-12)

Adventurer Camper (ages 12-14)

Trekker Camper (ages 12-14) - intense camping program. Not recommended for first year campers

Leader in Training (ages 15-17) - special application must be submitted

T-Shirt Size *

XXL

Other:

Phone # *

Allergies *

**You must have had a physical within the last two years. This is required** ***All Campers must be enrolled in 4-H online prior to camp - https://v2.4honline.com/***

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