Public Presentations Registration Form

Public Presentations Registration Form Club____________________________________________

Leader’s/Individuals Name______________________________________

Address___________________________________________________________________

Phone Number_______________________________

County Demonstration Session: (Check appropriate time slot)  Early Morning - 9:00 AM to 11:00 AM

4-Her Name

Age Jan. 1

 Late Morning - 11:00 AM to 1:00 PM

# of Prev. Demon.

Subject

 Alternate Date Requested Reason requested _____________________ Time Needed

Stove Needed

Teen Judge

Teen Room Host/ Hostess

Regional Horse