Registrations | Illinois Extension

Thank you for registering for Hooked on Creativity: Crochet Adventures hosted
by University of Illinois Extension | 4-H.

$7.00 Registration fee, includes crochet hook set, a single skein of yarn, and instructional handbook.

For additional information about this program, please contact -
Maria E. Gutiérrez, maraiza@illinois.edu, P: 217.300.9160 OR
Chanita Anderson, chickma@illinois.edu P: 708.449.4320

To learn more about 4-H, please visit Illinois Cook County 4-H

If you need a reasonable accommodation to participate, please contact, Chanita Anderson via email at chickma@illinois.edu.

Early requests are strongly encouraged to allow sufficient time to meet your needs.

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

First and last name of participant

What county does the participant live in?

Does your child have any special interests? Art, sewing, sports, writing, journaling, building, computers, games, yoga, etc

How did you hear about Hooked on Creativity?

Registration fee is $7, please select below to make payment Only credit or debit card payment is accepted

I would like to register ($7.00)

I grant the University of Illinois Extension the permission to disclose my identity and to reproduce and distribute videotapes, films, photographs, and transparencies of me and sound recordings arising out of the 4-H Programs. This image (photo or video) may be used in Extension publications or to otherwise promote Extension programs as in posters, audio/video presentations, or other displays. The image may also be released to local news media to be used in connection with reporting on, promoting, or otherwise publicizing Extension programs. Only parents/guardians of youth participating in 4-H Programs should complete this form which serves as an agreement between a participant and the University of Illinois to allow Illinois Extension to use photographs taken by the program facilitator(s).

Yes

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

Refund Policy

Refunds will be issued solely if the educator cancels the program.

Total Registration Cost $

Hooked on Creativity: Crochet Adventures for Ages 8-18

Contact Information

Civil Rights Compliance - Participant Info