JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024 Saunders County 4-H Summer Workshop Registration
All workshops will take place at the Saunders County Extension Office located within the Eastern Nebraska Research, Extension and Education Center (1071 County Road G, Ithaca).
Library programs are at each library - contact library to sign up.
Full details of classes can be found
here
Please note the age requirements for each session.
Payments should be mailed to:
Saunders County Extension
1071 County Road G
Ithaca, NE 68033
Checks payable to: University of Nebraska-Lincoln
Registrations will close when classes are full.
Contact our office with any questions - (402) 624-8030
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Youth Full Name
*
Your answer
Parent Phone Number
*
Your answer
Youth Age
*
Age as of 1/1/2024
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Grade completed for youth
*
PreSchool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Post High School
Not in School
Is the youth enrolled in 4-H?
*
Yes
No
Gender of Youth
*
Male
Female
Other:
Ethnicity
*
Hispanic
Non-Hispanic
Race
*
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian/Pacific Islander
2 or more races
Residence
*
Farm/Rural
Village/Town - under 10,000 people
City - 10,000 - 50,000 people
City - over 50,000 people
Military Family?
*
Yes
No
List Any Allergies That Are Life Threatening
*
If none, please enter 'None'
Your answer
I give permission for my family's photos to be used in publicity such as the 4-H website, 4-H social media or a newspaper article.
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
