Science Blast (4-H Science Camp)

Get ready to blast off this summer at 4-H Science Camp! This action-packed program is designed to launch young scientists into a world of discovery. We'll be fizzing and creating colorful experiments -- from launching alka-seltzer rockets to creating bath bombs, tie-dyeing with Sharpies, and witnessing the amazing eruption of elephant toothpaste.

Pick from one of the following locations and dates (each camp will be from 9 - 11 a.m.):

Jersey County - Wednesday, June 12 (Jersey County Township Building, 720 State Highway 16, Jerseyville,)
Christian County - Wednesday, June 26 (Christian County Extension Office, 1120 N. Webster, Taylorville)
Macoupin County - Wednesday, July 10 (Macoupin County Extension Office, 60 Carlinville Plaza, Carlinville)
Montgomery County - Wednesday, July 24 (Montgomery County Extension Office, 1 Industrial Park Drive, Hillsboro)

Ages: 8 - 18

Cost: $5 (fee waivers are available)

Please complete one registration for each child/participate that will be attending. You do not have to be a 4-H member to attend!

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

County

Participant Age

Please sign me up for the following camp: Choose location and session.

June 12 from 9 to11 AM (Jersey County Township Building) ($5.00)

[5 of 20 filled]

June 26 from 9 to11 AM (Christian County Extension Office) ($5.00)

[6 of 20 filled]

July 10 from 9 to11 AM (Macoupin County Extension Office) ($5.00)

[3 of 20 filled]

July 24 from 9 to11 AM (Montgomery County Extension Office) ($5.00)

[12 of 20 filled]

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 the participant need a reasonable accommodation to participate in this program? If yes, please explain below. This can include disabilities, known allergies, or knowledge that might be helpful to ensure a positive and successful experience.

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

Total Registration Cost