2007 Horticulture Contest Registration Form

This form is for use by North Carolina 4-H Agents in electronically submitting horticulture contest participant names.

Due date is Thursday, July 12, 2007, 5:00 PM.

Enter requested information below: (Team is not officially registered if all information is not properly given for each 4-H'er.)

County:
Agent's Name:

Submitted by:
E-Mail:

Will the coach, another Extension staff member, or a leader from your county be available to assist during the contest?
No
Yes Name

Part I: Information on Senior Team participants:

Give name, address with zip code, phone number, age and date of birth (DOB) of each team member per example below.

Example:
Liz Driscoll
Box 7609
NCSU
Raleigh, NC 27695-7609
Phone: 919-513-7415
Age : 45
DOB:12-22-54

Part II: Information on Junior Team participants:

Give name, address with zip code, phone number, age and date of birth (DOB) of each team member per example below.

Example:
Liz Driscoll
Box 7609
NCSU
Raleigh, NC 27695-7609
Phone: 919-513-7415
Age : 45
DOB:12-22-54

If you have no practice participants or have already entered them, you may submit the form now. If not, then proceed with Part III below.

Part III: Information on practice participants from your county:

Give name, address with zip code, phone number, age and date of birth (DOB) of each team member per example below.

Example:
Liz Driscoll
Box 7609
NCSU
Raleigh, NC 27695-7609
Phone: 919-513-7415
Age : 45
DOB:12-22-54