Registration Form Fall General Public Presentation

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Please return by Monday, November 6, 2017

Date & Location

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

Sat. 11/11/2017 N. Cohocton Approximate Time of Arrival: 10 a.m. ____

11 a.m.____

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Power Point

Recidtation or Dramatic Interpretation

Public Speaking

Impromptu

Illustrated Talk

Est. Time or Presentation (mins)

9 a.m.____

Type Team Demonstration

Club

Check Box if Cloverbud

Name

Age (as of 1/1/2017)

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

Demonstration

3 East Pulteney Square, Bath, NY 14810

Number of Presentations given (Including current year)

Fall General Public Presentation Registration Form

Cornell Cooperative Extension