Natchitoches Parish 4-H University Registration Form
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Transcript of Natchitoches Parish 4-H University Registration Form
2012 4-H University
Natchitoches Parish
Registration Form
Registration form and $175 fee due: May 1, 2012 TO THE 4-H OFFICE!
NO EXCEPTIONS!
4-H University: June 19-22 at
LSU Campus - Baton Rouge, LA
Name: Mailing Address: Phone: Cell Phone: Parent/Guardian Name: T-Shirt Size: Small Medium Large X-Large XX-Large XXX-Large I want to: Compete in Contest OR Attend Clover College Contest Choices: (Top 3, Choose From List Enclosed) 1. 2. 3. Clover College Choices: (Top 3, Choose From List Enclosed) 1. 2. 3. I will pay the full fee of $175.00 I participated in the petunia fundraiser. I sold ____ plants.
For more information contact: Mrs. Gwen Fontenot at (318) 357-2224 or
[email protected]. Completed forms can be mailed to: 4-H Office, 624 Second Street, Natchitoches, LA 71457
Make checks payable to: Natchitoches Parish 4-H Foundation, NO CASH PLEASE!!