2014 Online Dairy Skillathon Entry Form

2014 State 4-H Dairy Skillathon Contest Entry Form

Iredell County Agricultural Center, Statesville, NC

April 5 , 2014

8:30 a.m.



Extension Agent Team Name
Agent E-mail The team name for a multi-county team must list the counties represented in whichich the youths reside. Each county may enter an unlimited number of seniors and / or junior teams.
Phone Number
Coach Name
Coach Address
Coach Email
Contest    

A.

Name
Birthdate
4-H Age (As of January 1)
Address
Phone


B.

Name
Birthdate
4-H Age (As of January 1)
Address
Phone

C.

Name
Birthdate
4-H Age (As of January 1)
Address
Phone

D.

Name
Birthdate
4-H Age (As of January 1)
Address
Phone

Individual Contestants

Name
Birthdate
4-H Age (As of January 1)
Address
Phone

Total # of
Seniors
Juniors
Others
Total Attending

Please let us know if you have any youth with special needs or consideration so we can make the appropriate adjustments prior to the contest date. Thank You.


Entries are due by March 1, 2013