4-H Resident Camp Information Request

To attend 4-H Resident Camp, youth must be 9 years old by June 21, 2009.

If you are interested in attending the Sacramento 4-H Resident Camp, please fill out the following information and submit. An application package will be sent to in the mail.

* = Required
Question	Response
PARENT INFORMATION
* First Name
* Last Name
* Address
* City
* Zip Code
* Phone
CHILDREN'S INFORMATION
* First Child's Name
* First Child's Age by June 21, 2009
* Second Child's Name
* 2nd Child's Age by June 21, 2009
4-H Club
Survey Verification	For verification that you are human, please enter the following code in the box below: NSVCTD (if the code is not entered correctly, the survey will not be submitted)