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4-H Clover Kid Day Camp 
Friday, June 21st 9:00 AM - 12:00 PM or 1:00 - 4:00 PM, ages 5-7.  Cost $15.00-no refunds. Register by June 10th, payment must be made to the Extension office by June 10th.   At the 4-H Building in Auburn.  Come join us!

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Name: *
Which Session will you be attending? *
Age/Grade entering:  *
Race/Ethnicity  *
Parent's Name:  *
Email *
Address:  *
Emergency Contact #:  *
I agree that registration is not final until payment has been made at the Nemaha County Extension office by June 10th.  Please make checks to the University of Nebraska - Lincoln. *
Special Accommodations Needed or Food Allergies  *
I give permission to use my child's image taken in photographs to be used publications, advertisements, news articles or websites.   *
I give permission for my child to attend the Clover Kid Day Camp.   *
Name of parent or adult filling out form: *
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