Journalism in the Outdoors Registration

May 7-9, 2008

Please fill in all Fields

Registration Deadline: May 1, 2008

Name________________________________________________________

Address ______________________________________________________

Phone________________________________________________________

E-mail _______________________________________________________

Male_____ Female______

Please Check Your Registration Option

__ $175 for the three days; all meals, lodging and sessions included

__ $65 for Wednesday only, includes lunch, dinner and sessions included

__ $75 for Thursday only, includes three meals and sessions

__ $65 for Friday only, includes breakfast, lunch and sessions

Refund Policy:

- Full: by May 1, 2008

- 50%: after May 1, 2008

If you are a person with a disability and desire any assistive devices, services or other accommodations to participate in the Workshop, please contact The 4-H Center no later than two weeks prior to the date assistance is needed between the hours of 8:00 a.m. –

4:30 p.m. Monday through Friday.

Holiday Lake 4-H Educational Center programs and employment are open to all, regardless of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, or marital or family status. An equal opportunity/affirmative action employer.

Payment options

Mail your registration and a check addressed to Holiday Lake 4-H Educational Center to:

Holiday Lake 4-H Educational Center

1267 4-H Camp Road

Appomattox, VA 24522