2007 4-H CAMPING INTEREST FORM
Yes, we're interested !! Please send more information on the following 4-H Camp(s):
____ Lorain County Junior Camp (7/9-13) (TBA)
____ Portage County Junior Camp (7/8-7/14) ($200)
____ Teen Camp (6/15-6/18) ($150)
____ Sea Camp (7/21-7/25) (TBA)
____ Forestry Camp (6/10-6/15) (TBA)
____ Leadership Camp (7/21-26) (TBA)
Name_____________________________________________________ Age______
Phone _______________________________________
Address ____________________________________________________________
City ________________________________________________ Zip ____________
RETURN FORM BY APRIL 29.
4-H Camps — Cuyahoga
9127 Miles
Cleveland, OH 44105-6136
You will be sent application information and information on where to send Camp fee.
***************CAMPERSHIP REQUEST*******************
Please also consider us for a campership for the Camp(s) indicated:
____ Lorain County Junior Camp |
____ Sea Camp |
| ____ Portage County Junior Camp |
____ Leadership Camp |
| ____ Teen Camp |
____ Forestry Camp |
FILL OUT THE INFORMATION ON THIS SHEET AND RETURN FORM AND $20 DEPOSIT TO ADDRESS ABOVE NO LATER THAN APRIL 29.
TO ENABLE US TO USE THE COUNTY 4-H DEVELOPMENT FUND IN THE BEST WAY POSSIBLE AND HELP THE GREATEST NUMBER OF CAMPERS THIS YEAR, PLEASE PROVIDE THE FOLLOWING INFORMATION:
TO BE COMPLETED BY CAMPER:
Have you ever attended 4-H Camp before? If so, please list which camps and which years.
Why do you want to go to 4-H Camp?
TO BE COMPLETED BY PARENT OR GUARDIAN:
Please briefly state why financial assistance is needed in order for your child to go to 4-H Camp this year.
If a partial campership were awarded, would you be able to pay the rest: (check one)
We could pay $20 deposit and up to $20 additional cost
We could pay $20 deposit and up to $40 additional cost
We could pay $20 deposit and up to $60 additional cost
(For Parent/Guardian) Are there special reasons why you feel that going to camp would be beneficial to this child?
Parent/Guardian Signature _______________________________________________