2021 ALLEGHANY 4-H SUMMER FUN ~ JULY ACTIVITIES

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2021 ALLEGHANY 4-H SUMMER FUN ~ JULY ACTIVITIES

PLEASE ENTER EACH CHILD SEPARATELY - DO NOT PUT MULTIPLE CHILDREN ON THE SAME SIGN-UP FORM

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PARENT / GUARDIAN EMAIL ADDRESS* *

Your answer

YOUTH'S NAME* *

Your answer

YOUTH'S AGE* *

Your answer

YOUTH'S DATE OF BIRTH* *

Your answer

YOUTH'S T-SHIRT SIZE* *

YOUTH SMALL

YOUTH MEDIUM

YOUTH LARGE

ADULT SMALL

ADULT MEDIUM

ADULT LARGE

ADULT XL

PARENT / GUARDIAN NAME* *

Your answer

PARENT / GUARDIAN CONTACT PHONE NUMBER (Cell Phone Number Preferred)* *

Your answer

IS THIS A CELLPHONE NUMBER?* *

YES

NO

EMERGENCY CONTACT NAME

Your answer

EMERGENCY CONTACT PHONE NUMBER

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