4-H Summer Camps

Camp Participant Name

First NameLast Name

Grade level my child is entering for the 2019-20 school year

Parent/Guardian Name(s)

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Day-time Phone Number

Area CodePhone Number

Cell Phone Number

Area CodePhone Number

As a parent, I am interested in helping at a summer camp (extra set of hands, break activities) and becoming a screened 4-H volunteer. I am available to help on the following day(s):

4- H Enrollment

My child is a 4-H member enrolled in 4hOnlineMy child is not a current 4-H member - Please enroll my child for the 2019-20 4-H Year ($15 Enrollment Fee Due in Oct - financial assistance available)Please put me on the mailing list to receive more information about 4-HWe are not currently interested in receiving additional 4-H information

4-H SUMMER CAMPS: Register my 4th - 8th grade child for the following summer camps. Camps are scheduled from 9am to 3pm at the Buena Vista County Extension Office. Youth will be asked to bring a sack lunch to each day of camp. Snacks will be provided

Babysitting Clinic, Thursday, June 6 (Storm Lake), $10Babysitting Clinic, Friday, June 7 (Storm Lake), $10What is a Farmer?, Thursday, June 13 (Storm Lake) $10Science of BBQ, Tuesday, June 18 (Storm Lake) $10Candy Company, Wednesday, July 31 (Storm Lake) $10

NASA Space Camp on Monday, June 3 & Tuesday, June 4 is FULL

Scratch Your Video Game Itch Camp on Mon., July 22 & Tues., July 23 is FULL

OPTIONAL FIRST AID/CPR CERTIFICATION: All participants in the Babysitting Clinics will receive 1 hour of First Aid/CPR training. Youth may register to complete the full certification and receive a card at a later date this summer. Participants will need to complete an additional 2 hours and pay an additional fee to receive their certification. If you would like additional information about this option, please check below and our staff will contact you with more details.

First Aid/CPR Certification, there will be an additional fee

CLOVER KIDS SUMMER CAMPS: Register my Kindergarten-3rd grade child for the following Clover Kids summer camps.

Storm Lake Clover Kids, Tuesdays June 11, 18, 25, 10am-noon, $5Newell Clover Kids, Fridays June 14, 21, 28, 2:30-4:30pm, $5Alta Clover Kids, Wednesdays July 10, 17, 24, 9am-11am, $5Albert City Clover Kids, Friday, July 19, 9am - 3pm, $5Clover Kids Ready Jet Go Camp, Mon, July 29-August 2, 9am-noon (Storm Lake) $20

Payment Information:

Detailed information and a health form will be mailed to the address submitted on the registration. Please return health form and payment through the mail or drop off payment at the following address:

Buena Vista County Extension Office, 824 Flindt Drive, Storm Lake, IA 50588

Make Checks Payable to: ISU Extension and Outreach

Registration is Due 2 weeks Prior to Camp

Financial Assistance is Available - please contact Nichol at the Extension Office at 712-732-5056 to request a full or partial scholarship.

4-H & Clover Kids Summer Camps