NEED TO KNOW:

  • Youth ages 8-14 are eligible to attend our LEAD Camp
  • ALL registrations are FINAL
  • $40 per person registration fee for BOTH youth participants & parent/guardian attendees
    • Any parent/guardian that chooses to participate in the camp will be required to pay the $40 on the day of the event
    • Youth ONLY pay via credit card online
Submit ONE entry per participant/attendee

Registration information: (Select one)

Youth Participant Info

First Name * 
Last Name * 
Address * 
City * 
State * 
Zipcode *  
Email *  
Birthdate * 
T-Shirt * 
Phone # *  
Emergency Contact Name
Emergency Day Phone
Emergency Evening Phone


Special requests/Allergy:

Security Question

What color is the sky? (Please answer the question in lower case letters)

   

For more information, call Ellen Knauth at 765.463.3594 ext. 101 or e-mail: ellen@nationalswine.com