County Activity Day - 2015
Please use this form to register for County Activity Day, otherwise known as Presentations/Public Speaking and Talent Showcase, which will take place at the 4-H Office on March 21, from 9:00AM - 12Noon.
Doors will open at 8:30AM for you to find your rooms and get set up for the day.  Please be ready to start on time.

Talent Showcase will begin around 11:00AM.  This includes the Cecil and Leonard performances.
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First Name *
Last Name *
E-Mail Address *
Please use one that we can contact you at.
Birthdate *
Age *
How old were you as of January 1, 2015
Primary Phone/Best Time to Call *
Please list a phone number we may contact you at
Address *
City *
Zip *
Presentation Age Division *
Based on age as of January 1, 2015
Presentation Category *
Please check one
Required
Is this a Team Presentation *
Please check one.  If Yes, please continue below.  If the team member is in a different age category, the team must compete in the older category.
Team Presenter Name
Team Presenter Birthdate
Team Presenter Email
Team Presenter Primary Phone/Best Time to Call
Team Presenter Name
Team Presenter Birthdate
Team Presenter Email
Team Presenter Birthdate
Team Presenter Primary Phone/Best Time to Call
If there are additional Team Members for Talent Showcase, please list them here.  
Name then 4-H Age
If this is a Talent Show event, please tell me what you are doing.
List the type of talent, and then give me the title of the song, artist, or composer for my info.
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