Las Posadas 4-H Camp

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Please fill out this form and submit, after submit you will need to print out the "Medical Release" and "Code of Conduct" Forms..
This will be our Alameda County Staff Development Weekend. May1-2, 2010

First Name:
Last Name:
Age
Gender:
Please Specify Which day you can work
4-H Club:
Home Phone #:
Cell Phone #:
Email Address:*
Please indicate any special Request here.

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