2024 Lead Chaperone Form

2024 Lead Chaperone Form

Lead Chaperone First Name*

Lead Chaperone Last Name*

Lead Chaperone Email*

Delegation Name*

How many total teens are in your delegation?*

How many total adults are in your delegation?*

Please include yourself.

Week*

Week 1: June 15-22, 2024

Week 2: June 20-27, 2024

Approximate Arrival Time*

Transportation Note:

If you are providing your own bus, please disregard the bus questions below. If you have purchased the transportation package, please check the boxes below if you plan on utilizing a bus for the specific days below to help us in planning.

Do you want breakfast for your group prior to departing for Capitol Hill Day?

Capitol Hill Day Plans*

Capitol Hill Day Bus

Delegation Day Plans*

Delegation Day Bus

States Night Out Plans*

States Night Out Bus

Do you want breakfast for your group prior to departing on the last day?

If you have any questions or issues, please email events@4-h.org.

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