Name__________________________________________________
Mailing
Address __________________________________________
E-mail
_________________________________________________
Phone
___________________Cell____________________________
Age_______
___ I will
be attending the entire workshop.
___
Enclosed is a check in the amount of $65 for this.
___I will
be renewing only, I have attended another accepted school
___Enclosed
is a check in the amount of $20 for this.
___ I will
only be auditing this program (open to 4-H Youth and
volunteers)
___
Enclosed is a check in the amount of $25 for this.
Do you have
any meal restrictions/allergies?
________________________________________________________
Mail
this, with your check made out to “New England 4-H Horse
Program” to: Sherri Thornton, N E Committee Chair, 16
Johnson Flat Road, Burnham, ME 04922-3303.
For more information on
educational programs in your area, contact your
county Extension office.