Cloverbud is designed to introduce children ages 5-8, to the 4-H camping experience. Camp is limited to 60 boys and 60 girls so don’t delay.
Cloverbud is designed to introduce children ages 5-8, to the 4-H camping experience. Camp is limited to 60 boys and 60 girls so don’t delay.
Cloverbud is designed to introduce children ages 5-8, to the 4-H camping experience. Camp is limited to 60 boys and 60 girls so don’t delay.
Cost: Early Bird: $85 per camper
Cost: Early Bird: $85 per camper
Cost: Early Bird: $85 per camper
(register before May 16)
(register before May 16)
(register before May 16)
Regular Price: $95
Regular Price: $95
Regular Price: $95
(register after May 16)
(register after May 16)
(register after May 16)
No cost for trained teen & adults within the 1:5 ratio with a filled out registration form.
No cost for trained teen & adults within the 1:5 ratio with a filled out registration form.
No cost for trained teen & adults within the 1:5 ratio with a filled out registration form.
Refund Policy: Full: before May 30; 1/2: after May 30; Nonrefundable after June 6
Refund Policy: Full: before May 30; 1/2: after May 30; Nonrefundable after June 6
Refund Policy: Full: before May 30; 1/2: after May 30; Nonrefundable after June 6
Drop off: June 13 at 4 PM Pick up: June 15 at 10:30 AM
For more info visit www.holidaylake4h.com or call 434-248-5444
Drop off: June 13 at 4 PM
Drop off: June 13 at 4 PM
Pick up: June 15 at 10:30 AM
Pick up: June 15 at 10:30 AM
For more info visit www.holidaylake4h.com or call 434-248-5444
For more info visit www.holidaylake4h.com or call 434-248-5444
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Camper Name____________________________
Camper Name____________________________
Camper Name____________________________
Parents Name ____________________________
Parents Name ____________________________
Parents Name ____________________________
Address _________________________________ ________________________________
Address _________________________________ ________________________________
Address _________________________________ ________________________________
Email ________________________
Email ________________________
Email ________________________
Phone________________________
Phone________________________
Phone________________________
Birth date ________________________ Male_____Female_____ Shirt: Youth/Adult _____
Birth date ________________________
Birth date ________________________
I am a Camper __,Adult(paying)____
Male_____Female_____ Shirt: Youth/Adult _____ am a Camper __,Adult(paying)____
Male_____Female_____ Shirt: Youth/Adult _____ am a Camper __,Adult(paying)____
Teen Leader___ Adult Leader _____
Teen Leader___ Adult Leader _____
Teen Leader___ Adult Leader _____
County you are attending with: _________________
County you are attending with: _________________
County you are attending with: _________________
Make Check Payable & Mail Registration Form to:
Make Check Payable & Mail Registration Form to:
Make Check Payable & Mail Registration Form to:
Treasurer of Virginia Tech
Treasurer of Virginia Tech
Treasurer of Virginia Tech
VCE-Albemarle/Charlottesville
VCE-Albemarle/Charlottesville
VCE-Albemarle/Charlottesville
460 Stagecoach Road, Charlottesville, VA 22902
460 Stagecoach Road, Charlottesville, VA 22902
460 Stagecoach Road, Charlottesville, VA 22902
Registration Deadline: May 30, 2014 Amount enclosed___________________
Registration Deadline: May 30, 2014 Amount enclosed___________________
Registration Deadline: May 30, 2014 Amount enclosed___________________
If you are person with a disability and desire any assistive devices, services, or other accommodations to participate in this activity, please contact Holiday Lake 4-H Center at 434-2485444 during business hours of 8AM and 4:30PM to discuss accommodations 5 days prior to event. *TDD number is 800-828-1120
If you are person with a disability and desire any assistive devices, services, or other accommodations to participate in this activity, please contact Holiday Lake 4-H Center at 434-2485444 during business hours of 8AM and 4:30PM to discuss accommodations 5 days prior to event. *TDD number is 800-828-1120
If you are person with a disability and desire any assistive devices, services, or other accommodations to participate in this activity, please contact Holiday Lake 4-H Center at 434-2485444 during business hours of 8AM and 4:30PM to discuss accommodations 5 days prior to event. *TDD number is 800-828-1120
Holiday Lake 4-H Educational Center programs and employment are open to all, regardless of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, or marital or family status. An equal opportunity/affirmative action employer.
Holiday Lake 4-H Educational Center programs and employment are open to all, regardless of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, or marital or family status. An equal opportunity/affirmative action employer.
Holiday Lake 4-H Educational Center programs and employment are open to all, regardless of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, or marital or family status. An equal opportunity/affirmative action employer.
