Open Photography Club Registration - Salt Lake County 4-H

Name

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Gender

Female Male

Ethnic Background

For Civil Rights purposes only.

Asian/Pacific Islander Black Hispanic Native American White

Address

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Zip Code

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Home Phone

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Cell Phone

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Name of Guardian

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Please list any restrictions/allergies/special arrangements that you may have or need:

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*Verification : Please answer the question below

Which U.S. State is the farthest north?