Public Speaking Registration

Name of Youth Participant*

First Last

Age*

Please enter a number from 5 to 18.

Title of Presentation*

Presentation Type*

Demonstration
Illustrated Talk
Team Demonstration
Team Illustrated Talk

Name of Team Partner

*NOTE: Your teammate must submit their own registration form as well.

First Last

Do you have another youth to register for this event?

Yes
No

Name of Youth Participant*

First Last

Age*

Please enter a number from 5 to 18.

Title of Presentation*

Presentation Type*

Demonstration
Illustrated Talk
Team Demonstration
Team Illustrated Talk

Name of Team Partner

*NOTE: Your teammate must submit their own registration form as well.

First Last

Do you have another youth to register for this event?

Yes
No

Name of Youth Participant*

First Last

Age*

Please enter a number from 5 to 18.

Title of Presentation*

Presentation Type*

Demonstration
Illustrated Talk
Team Demonstration
Team Illustrated Talk

Name of Team Partner

*NOTE: Your teammate must submit their own registration form as well.

First Last

Do you have another youth to register for this event?

Yes
No

Name of Youth Participant*

First Last

Age*

Please enter a number from 5 to 18.

Title of Presentation*

Presentation Type*

Demonstration
Illustrated Talk
Team Demonstration
Team Illustrated Talk

Email address to contact with details about this event:*

Please register any guests who are planning to attend:

Note: As a way to document those we are reaching, we are seeking Gender and Race/Ethnicity information on an optional basis.

Name	Town of Residence	Gender	Race/Ethnicity

If you need a reasonable accommodation, or if you have any questions/comments, please enter them here:

Hancock County 4-H Speak Up Showcase