Transcript Mystery Trip - Registration Form

7TH and 8TH grade Mystery Day Trip
For Intermediate 4-H Members
JUNE 15, 2016
COST: $100
This trip will be an all day trip. The bus and trip schedule for
Wednesday is attached . Once you sign up for this AWESOME
trip you will receive more secret information on what you will
need to bring for this Mystery trip…..we can’t give too much
away all at once, can we? Fill out the bottom portion and
remit with payment to your local Extension Office by May 6th.
Check should be made payable to Monroe County Extension.
Please call the Extension Office if you have any questions…
-------------------------------------------------------------------------------------------Name ___________________________________________________
Address _________________________________________________
City/Town _____________________________ Zip _______________
Phone ________________________________ Grade _____________
County __________________________________________________
Email ____________________________________________________
Each county will have 5 seats available, after the first five have signed up, you will be
placed on a waiting list. Don’t miss out on the fun mystery sign up today!
* Registrations are due to your county office by May 6, 2016.
Extension programs are available to all without regard to race, color, national origin, religion, sex, age, and disability.
The fees for service will be used to offset direct expenses and to support the Families County Extension Program.