Conference Registration
Registration Form Public Presentations 2018 Yates County 4-H 417 Liberty Street Penn Yan, NY 14527 Phone: 315-536-5123 Fax: 315-536-5117 [email protected] [email protected]
Presenter Information
Presentation Information
Name:
Cloverbud Presentation
Age & Date of Birth:
Demonstration
# of Past Presentations:
Illustrated Talk
# As a Cloverbud_____ As 4-H'er_____
Recitation
# years as a 4-H'er:
Speech or Public Address
# years as a Cloverbud:
Team Presentation, Name of co-presenter
Club Name:
Power Point Presentation (10 years old + 2 PPs)
Phone:
Impromptu (13 years old + 3 PPs)
Email:
Job Interview (14 years old + 1 PP)
Parent Name:
College Interview (14 years old + 1 PP)
Special Needs/Requests/Equipment:
Horse Communications (call 4-H office for rules) Produced in New York (call 4-H office for rules) Presentation Title: Subject Area: Approx Length:
I am also willing to: Be a room host/hostess! Be a teen evaluator (must have taken teen leader training)!
Date/Time Preference*: Please indicate a 1st and 2nd choice**: Tuesday, February 20, 2018, 6:00 to 9:00 PM
Help in another way! Saturday, February 24, 2018, 9:00 AM to 12:00 PM
Please return completed form to the 4-H office (contact info above) on or before Friday, January 26, 2018
Tuesday, February 13, 2018, 6:00 to 7:30 PM (Early Bird day) *Location: Yates County Office Building, 417 Liberty Street, Penn Yan **You will be contacted with your scheduled date/time
Note: There are no live animals allowed in the Yates County building, if your presentation is more effective with an animal, please contact Jen to see if alternate arrangements can be made. There are no live animals allowed at District Public Presentations so please plan ahead if you strive to advance to the next level!
Presenter Information
Presentation Information
Name:
Cloverbud Presentation
Age & Date of Birth:
Demonstration
# of Past Presentations:
Illustrated Talk
# As a Cloverbud_____ As 4-H'er_____
Recitation
# years as a 4-H'er:
Speech or Public Address
# years as a Cloverbud:
Team Presentation, Name of co-presenter
Club Name:
Power Point Presentation (10 years old + 2 PPs)
Phone:
Impromptu (13 years old + 3 PPs)
Email:
Job Interview (14 years old + 1 PP)
Parent Name:
College Interview (14 years old + 1 PP)
Special Needs/Requests/Equipment:
Horse Communications (call 4-H office for rules) Produced in New York (call 4-H office for rules) Presentation Title: Subject Area: Approx Length:
I am also willing to: Be a room host/hostess! Be a teen evaluator (must have taken teen leader training)!
Date/Time Preference*: Please indicate a 1st and 2nd choice**: Tuesday, February 20, 2018, 6:00 to 9:00 PM
Help in another way! Saturday, February 24, 2018, 9:00 AM to 12:00 PM
Please return completed form to the 4-H office (contact info above) on or before Friday, January 26, 2018
Tuesday, February 13, 2018, 6:00 to 7:30 PM (Early Bird day) *Location: Yates County Office Building, 417 Liberty Street, Penn Yan **You will be contacted with your scheduled date/time
Note: There are no live animals allowed in the Yates County building, if your presentation is more effective with an animal, please contact Jen to see if alternate arrangements can be made. There are no live animals allowed at District Public Presentations so please plan ahead if you strive to advance to the next level!
