2014 Dairy Quiz Bowl Online Entry Form

2014 State 4-H Dairy Quiz Bowl Contest

April 5 , 2014

Iredell County Agricultural Center (8:30 a.m.)


Extension Agent  County
Address Phone Number
Agent's E-mail    
Coach's Name Coach's Address
Coach's Phone Coach's Email
Contest Name Team Name

 

A. Age Division

Name
Birthdate
4-H Age as of January 1
Address
Phone

 

B. Age Division

Name
Birthdate
4-H Age as of January 1
Address
Phone

 


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.

Total # of
Seniors
Juniors
Others
Total Attending

Please Return by April 1, 2014: