Prepare for Lift Off Aerospace 4-H Workshop

Have a blast and register now for Prepare for Lift Off! Prepare for Lift Off will be on Thursday, June 6, at 6pm at the U of I Extension, Tazewell County Office.

This free workshop is fantastic for anyone ages 8-18 who is interested in learning more about exhibiting rockets in the 4-H Show & Jr. Fair. Not only will you be learning about exhibiting rockets from one of the 4-H Show judges, Michael Rodman, but he will also cover measures that will keep you safe and those around you during blast off.

Parents are welcome to enjoy this workshop as well and ask any questions they may have about their child exhibiting rockets at the 4-H Show & Jr. Fair.

Contact Information

First Name

Last Name

Street Address

Street Address 2

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Daytime Phone

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E-mail Address

How would you describe your aerospace experience?

Brand new to project

Have a couple years experience

Feel ready for more advanced information

Could teach your own aerospace workshop

Will an adult(s) be attending the workshop with you? If so, please include their name(s). If not, just type No.

Are you a current 4-H member? If so, what is your club name? If not, just type No.

Photo Release I, the undersigned, do hereby consent to the use by The Board of Trustees of the University of Illinois (University) of my image, voice, or both described below, in (1) the video, photograph, or audio recording described below; and (2) any video, photograph, or audio recording reproduced either in whole or in part from the video, photograph or audio recording described below: regardless of whether these materials are used for fundraising, advertising, publicity, or any other purpose on behalf of either the University or its Foundation. I warrant that I have the full right and authority to grant this consent. In addition, I waive all claims to compensation or damages based on the use of my image or voice, or both, by either the University or the Foundation. I also waive any right to inspect or approve the finished photograph or video or audio recording. I understand that this consent is perpetual, that I may not revoke it, and that it is binding on me, my heirs and assigns. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned, or that I am the parent or legal guardian authorized to sign on behalf of a person under age 18. I further attest that I have read this consent form and fully understand its contents.

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

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