2013 Teen 4-H Camp Application

1. Information about You

 
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Contact Information
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Parent/guardian(s):
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Date of Birth
MM DD YYYY
Date of Birth
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Ethnicity
Race
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Gender
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Grade Completed June 2013
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Are you currently enrolled as a 4-H member in Oregon?
Name of School
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Name of Person(s) other than parents who can pick up applicant from camp or counselor trainings
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