Registrations | Illinois Extension

Come build, create, and play with the Montgomery County Youth Leadership Team!

Our Youth Leadership Team is hosting a fun-filled, construction-themed adventure just for Cloverbud youth. This hands-on event is perfect for young builders ready to explore, imagine, and get a little creative!

During this action-packed hour, youth will:

It’s one exciting hour full of learning, creativity, and FUN!

Who: Youth in Kindergarten–2nd Grade
When: Saturday, May 2 from 9 –10 AM
Where: Montgomery County Extension Office (1 Industrial Park Dr., Hillsboro, IL)
Cost: FREE

If you need a reasonable accommodation to participate or have food allergies we need to be aware of, please contact: Cheralee Vohlken

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

I grant the University of Illinois Extension 4-H Youth Program, irrevocable permission to record and/or discloser my child's identity, image, and voice arising out of documenting 4-H youth programs. and to use, reproduce and distribute such in whole or in part in video and/or sound recordings, films, photographs, transparencies, webpages, social media, local news media or any other media for any purpose on behalf of the University of and Extension without compensations to me and without any right for me to inspect or approve of the finished photograph, video, or audio recordings or other recordings.*

Yes

Does participant need reasonable accommodation for this program? If yes, please list below. If none, please put n/a in the box below.

Please tell us how you heard about this program. (You can select more than one option)

Extension Website

Social Media (Facebook or Instagram)

Flyer

Newspaper

Newsletter (email newsletters/eblasts included)

Radio

Friend/Co-worker

Other

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

Construct and Create Cloverbud Workshop | Montgomery County

Contact Information

Civil Rights Compliance - Participant Info