4-H Super Saturday Registration Form
Saturday, February 20, 2016
Name:
Age:
Complete Address:
P.O. Box or Street Address
City
Phone Number:
State
Zip Code
4-H Club
Number your choices for the sessions available in each workshop time slot. (Example: 1 being your first
preference, 2 being your second preference and so on. Please number each workshop session from #1 to
at least #7.) If you do not number your choices, you increase your chances of being placed into a session that
is not of interest to you.
Do not send money with this registration form. All money will be collected on Saturday, February 14, 2015 when
4-H’ers check-in for the day.
All registration forms will be assigned a number when turned into the office. Numbers will be drawn at random,
to make session assignments.
Return this form to the DeKalb County Extension office by Friday, February 20, 2016.
Workshop #1 - 9:00 to 10:00 a.m.
String Art (limit 6; fee is $3.00)
____ Marshmallow Shooter (limit 10; fee is
$6.00)
Frosting Fun (limit 6; fee is $4.00)
Air-Zooka (limit 8; fee is $2.00)
Workshop #2 – 10:05 to 11:05
String Art (limit 6; fee is $3.00)
____ Marshmallow Shooter (limited 10; fee is
$6.00)
Frosting Fun (limit 6; fee is $4.00)
Air-Zooka (limit 8; fee is $2.00)
Leather Crafting (limit 5; fee is $3.50)
Leather Crafting (limit 5; fee is $3.50)
Mini Aquarium (limit 5; fee is $3.50)
Mini Aquarium (limit 5; fee is $3.50)
Green Garden Friends (limit 10; fee is
$3.00)
Super Heroes Galore (limit 10; fee is
$5.00)
DIY Wall Art (limit 10; fee is $5.00)
Green Garden Friends (limit 10; fee is
$3.00)
Super Heroes Galore (limit 10; fee is
$5.00)
DIY Wall Art (limit 10; fee is $5.00)
Luck-O-The-Irish Shamrock Door
Decoration (limit 8; fee is $2.00)
Pipe Cleaner Creations (limit 8; fee is
$3.00)
Name
Workshop #3 - 11:10 to 12:10 p.m.
String Art (limit 6; fee is $3.00)
Marshmallow Shooter (limited 10; fee is
$6.00)
Crazy Straw Bridge (limit 15; fee is $1.00)
Make Your Own Window Clings
(limit 8; fee is $3.00
Parachute Cord Projects (limit 6; fee is
$4.00)
Frosting Fun (limit 6; fee is $4.00)
Air-Zooka (limit 8; fee is $2.00)
Slinging & Popping (limit 6; fee is $1.00)
Leather Crafting (limit 5; fee is $3.50)
Super Science Fun (limit 15; fee is $3.00)
Mini Aquarium (limit 5; fee is $3.50)
Movie Madness (unlimited; free)
Green Garden Friends (limit 10; fee is
$3.00)
Super Heroes Galore (limit 10; fee is
$5.00)
DIY Wall Art (limit 10; fee is $5.00)
Luck-O-The-Irish Shamrock Door
Decoration (limit 8; fee is $2.00)
Pipe Cleaner Creations (limit 8; fee is
$3.00)
Blasting Off with Rockets (limit 5; fee is
$4.00)
Workshop #4 – 12:45 to 1:45 p.m.
____ String Art (limit 6; fee is $3.00)
Frosting Fun (limit 6; fee is $4.00)
Air-Zooka (limit 8; fee is $2.00)
Pipe Cleaner Creations (limit 8; fee is
$3.00)
Blasting Off with Rockets (limit 5; fee
is $4.00)
Octopus Buddy (limit 6; fee is $3.00)
Workshop #5 – 1:50 to 2:50 p.m.
Frosting Fun (limit 6; fee is $4.00)
Pipe Cleaner Creations (limit 8; fee is
$3.00)
Blasting Off with Rockets (limit 5; fee is
$4.00)
Octopus Buddy (limit 6; fee is $3.00)
Crazy Straw Bridge (limit 15; fee is $1.00)
Make Your Own Window Clings
(limit 8; fee is $3.00)
Parachute Cord Projects (limit 6; fee is
$4.00)
Slinging & Popping (limit 6; fee is $1.00)
Super Science Fun (limit 15; fee is $3.00)

Return this form by no later than Friday,
February 5, 2016 to the following address:
University of Illinois Extension
DeKalb County
1350 W. Prairie Drive
Sycamore, IL 60178
Fax: (815) 758-8199
We look forward to seeing you on Saturday,
February 20th!
4-H’ers should bring a backpack or bag to place
their items in during the day. Please make sure
the backpack/bag is labeled with the 4-H’ers
name.