Registration Form February General (including horse) Public ...

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Please return by Friday, February 17th, 2017

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

9 a.m.____ 1 p.m.____

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

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

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Est. Time or Presentation (mins)

Approximate Time of Arrival:

Ti tl

Power Point

Recidtation or Dramatic Interpretation

Public Speaking

Impromptu

Illustrated Talk

Team Demonstration

Club

Sat. 2/25/17 Cnty Office Bldg, Bath

Type

Demonstration

Name

Number of Presentations given (Including current year)

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

Check Box if Cloverbud

3 East Pulteney Square, Bath, NY 14810

February General (including horse) Public Presentation Registration Form

Age (as of 1/1/2017)

Cornell Cooperative Extension

Date & Location