3
Please complete the front and back of this form. This registration form is due to the 4-H office no later than Monday, May 1, 2018 at 5:00 p.m. This does not mean post marked!! Name: ___________________________________ Age (as of January 1, 2018):_______ Date of Birth: __________________________ Address: _____________________________________________________________ City: ______________________________ Zip: __________________________ Phone: ______________________________________ Club Name: ___________________________________________________________ Email Address: _________________________________________________________ Presentation: Title of Presentation: (Required):__________________________________________________________ Will you be competing as an Individual? _________ or a Team? _________ If competing as a team, please indicate the name of your team member: ___________________________________________________________________ (Please note: Team presentations will compete in the age category of the oldest team member) 2018 New Hanover County 4-H Presentation Registration Form
