CLIP 'N RETURN

Public Presentations Contest Registration

Name __________________________________________________________________

Phone __________________________ Age as of Sept. 1, 2007 ______________

Title of Each Presentation & which area it goes with (illustrated speech, food demo, etc.):

1. _____________________________________________________________________

2. _____________________________________________________________________

3. _____________________________________________________________________

4. _____________________________________________________________________

Check which area(s):

Demonstration - General _____ Food _____ Horse ______ Horticulture _____

Speech- Formal ___ Illustrated ___ Extempore ___ Original Works ___Oral Interpretation ___

Horse - Formal ___ Illustrated ____

Return by February 11, to the Extension Office, 807D South Clay Street, Mt. Carroll, IL 61053.