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4-H Camp Shehaqua Registration
2003


4-H Camp Shehaqua 2003 — Register Now!

All 4-H members, 8-13, are invited to attend 4-H camp June 17-20 at Hickory Run State Park, White Haven, PA. Camping provides everyone with a chance to learn about nature, meet new friends, gain responsibility, and learn to live and work with others.

The camp is supervised by 4-H agents, adult leaders and 4-H teen counselors who have completed training and are familiar with our camping program.

The cost of camp is $80.00, which includes all meals, lodging, bus transportation, and camp photo. Our program includes workshops in nature, recreation and crafts. Activities include campfires, hikes, skits, games and much more. We have an exciting low ropes challenge course which is everyone's favorite.

Camp Registrations will be accepted on a first-come, first-served basis.
Registration is due May 23!

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $$ $ $ $ $ $ $ $ $ $ $ $ $

Camp Shehaqua Registration

Return by May 23 to:
Martha Gregory, Lebanon County Cooperative Extension
2120 Cornwall Road, Suite 1
Lebanon PA 17042

*Name _____________________________________ M/F______ Birthdate____________

Ad dress__________________________________________________________

City/State/Zip______________________________________________________

Phone (H)_________________________ (W)_____________________________

Club_____________________________________________________________

Camp Fee: $80.00 per person
Checks should be made payable to: Lebanon County 4-H Development Fund
*one form per child. Contact the Extension Office if you need extra registration forms.

Note: Please send a recent photo or school picture of your child along with this registration form!

I, the undersigned, individually and as parent(s) and guardian(s) of _______________________________, a minor, ask that he/she be admitted to participate in this camp sponsored by the Pennsylvania State University. In consideration of such admission, I do hereby agree to release, discharge, and hold harmless the Pennsylvania State University, its officers, agents, and employees of and from all causes, liabilities, damages, claims or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the camp or in the course of competition and/or activities held in connection with the camp.

Parent/Guard ian Signature_____________________________________ Date_____________________


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This page last updated Tuesday, April 22, 2003 12:26

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