February General Public Presentation Registration Form

Please return by Monday, February 15th, 2016

Date & Location

February General Public Presentation Registration Form

List any special needs or equipment you need for your presentation:

Sat. 2/27/16 Cnty Office Bldg, Bath 9 a.m.____ 1 p.m.____

10 a.m. ____ 2 p.m. ____

11 a.m.____ 3 p.m.____

) bl e

ic

ila

te ro rT op

av a ( if n

Su bj e

ct

M

at

at io en t es Pr of e Ti tl

Power Point

Recidtation or Dramatic Interpretation

Public Speaking

Impromptu

Est. Time or Presentation (mins)

Approximate Time of Arrival:

Type

Illustrated Talk

Number of Presentations given (Including current year)

Club

Check Box if Cloverbud

Name

Age (as of 1/1/2016)

Phone: (607) 664-2300 Fax:(607) 664-9103 E-mail: [email protected]

Team Demonstration

3 East Pulteney Square, Bath, NY 14810

Demonstration

Cornell Cooperative Extension