Registration Form

For Youth currently in 7th - 12th Grades

This form can be printed by using your printer function on your browser file feature.

Please Send this form and your check to:

Hamilton County 4-h Foundation
Hamilton County Extension Office
311 Bank St
Webster City, IA 50595

The Fee is $180 ($20.00 off) if you preregister before May 1st!
The Fee is $200.00 if you register between May 2nd and June 1st.
After June 1st, please email: iowa-4h-photocamp@yahoo.com for space availability.


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Name


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Grade (2010-2011 School Year)

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Address

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City

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County

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Email Address

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Evening Phone #

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Daytime Phone #

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Cabin Buddy

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Parent/Guardian Signature Date

Special Diet Requirements: Yes____   No____

Gender: M______ F______

t-shirt size: S __  M __  L __  XL __  2XL __

Type of Camera you will be using (circle): Point & Shoot   Adjustable SLR


For More Information, E-mail:
iowa_4h_photocamp@yahoo.com

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