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Departments » UW Extension » 4-H Youth Development
STEAM Wednesdays





Please fill out the registration form below to pick your date and register! Each participant will have many take homes, such as slime and wall art.

Minimum of 10 participants / Maximum of 15 participants for each date.
No refunds unless canceled due to low registrations.
Registration is closed the monday prior to each date listed.

Financial Assistance Available -
Please contact Alyssa at alyssa.zirbel@browncountywi.gov for an application.

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
Parent Name:
What date will your child be attending?
What grade is the participant entering in Fall of 2019?
Will a parent or guardian be staying for the program?
Do we have permission for your child's photo release?
If a parent or guardian will be staying, will they be participating in the program? (If yes, additional $12 payment needed for supplies):
Is your child a current member of 4-H?
How did you hear about this program?
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