2008 Camp Registration Form
Camp Dates June 5-8

Return RAM and Code of Conduct Form,
registration and fees by May 16th

Camper____  Teen Leader____  Adult_____

Adults must fill out registration form.

Name_______________________________

Address_____________________________

City____________________  Zip________

Parents’ Name________________________

Boy_____  Girl_____  Club_____________

Survey: (OPTIONAL)
Favorite food_________________________

Favorite drink________________________

Favorite game/sport:___________________

Main 4-H Project/Hobby________________

Tee Shirt: Youth  SM_____  MD_____  LG_____
Adult   SM_____  MD_____  LG_____
            XL_____  XXL_____  XXXL_____

Cost of camp -   $70 with county record book
                        $105 without county record book- Total amount enclosed __________    
Mail or bring to:  OSU Extension Center, 220 W. Division, CH, Suite 1, Stilwell, OK  74960