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Departments » UW Extension » 4-H Youth Development
SPACE CAMP




Your child does NOT need to be a 4-H member to participate in this program, but does need to be a 3rd - 6th grader! The cost of this program is $20 per child. Registration is closed one week prior to the date of the event. If you have questions please email Melinda Pollen at melinda.pollen@wisc.edu

Note: Each date requires a minimum of 10 participants (maximum of 30 per date). Registration fees are non-refundable unless the program is cancelled due to low registration.


First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
Parent's Name:
Date of Program Attending:
Do we have your permission for your child's photo release?
Grade of Participant:
How did you hear about this program?
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