Alameda County Presentation Day Entry Form

Presentation Category:

Title of Presentation:

Do you need an overhead projector:

Is this a team presentation:

Does this presentation use a live animal? If yes, what is it?

Are there any physical or mental accommodations needed?
If yes, please explain how we can help

The following information must be provided for each member participating in the presentation. Please list the oldest member first.

Presenter # 1
Name:
Address:
City:		Zip:
Phone:		Email:
Age: as of 1/1/07		Grade:
School:
4-H Club:		Years in 4-H:
Is this presenter in a Share-The-Fun? If yes, the Title:

Presenter # 2 (only if a team Demonstration)
Name:
Address:
City:		Zip:
Phone:		Email:
Age: as of 1/08		Grade:
School:
4-H Club:		Years in 4-H:
Is this presenter in a Share-The-Fun? If yes, the Title:

If there are more presenters, please email the name of the presentation and the additional name information to cvcrossett@aol.com after submitting this form.