COUNTYREGISTRATION FOR DISTRICT EVENTSFORM A
This form Must be Typed Demonstrations
County:______
Senior Division
Intermediate Division
Junior Division
Only listed Representatives from each county can come to district competition.
(Original form to District chairperson, a copy should be maintained for county files.)
(Please prepare separate registrations for Juniors, Intermediates, and Seniors.)
I ______certify that the 4-H members listed below have fulfilled participation requirements.
(4-H Agent)
***Note: If you need more space, please copy the form as needed. All blue ribbon winners from district contests in demonstrations are eligible to participate at the state level.
FORM A
CATEGORY / NAME OF 4-H'ER / RACE / DOB / TITLE OF SPEECH / ACTPublic Speaking - General *
Public Speaking
Alternate(s) / 1.
2.
Alt
Share-The-Fun / 1.
Alt.
**Note: Public Speaking - General participants must submit 3 copies of speech to the District Chairperson at least (2) weeks before the event. **
CATEGORY / NAME OF 4-H'ER / COUNTY / RACE / DOB / TITLE OF DEMONSTRATIONAnimal Science
Animal Industry / Ind.
Ind.
Team
Team
Small animals and Pets / Ind.
Ind.
Team
Team
Horse(please see note) / Ind.
Ind.
Team
Team
NOTE
The State Horse Events will be held in Gainesville on a date determined by the Animal Science Department, which will not necessarily coincide with 4-H University.
CATEGORY / NAME OF 4-H'ER / COUNTY / RACE / DOB / TITLE OF DEMONSTRATIONCitizenship and Leadership
Citizenship, Community Service, Global Education, Leadership Development, and Career and Workforce Preparation / Ind.
Ind.
Team
Team
Communication and Expressive Arts
Communication and Media Arts / Ind.
Ind.
Team
Team
Leisure and Performing Arts / Ind.
Ind.
Team
Team
Family and Consumer Sciences
Childcare and Child Development / Ind.
Ind.
Team
Team
CATEGORY / NAME OF 4-H'ER / COUNTY / RACE / DOB / TITLE OF DEMONSTRATION
Family and Consumer Sciences (Cont.)
Clothing and Sewing / Ind.
Ind.
Team
Team
Money Management / Ind.
Ind.
Team
Team
Healthy Living
Food Preparation / Ind.
Ind.
Team
Team
Food Nutrition, Food Safety, and Food Science / Ind.
Ind.
Team
Team
CATEGORY / NAME OF 4-H'ER / COUNTY / RACE / DOB / TITLE OF DEMONSTRATION
Healthy Living (cont.)
Personal
Well-Being / Ind.
Ind.
Team
Team
Safety / Ind.
Ind.
Team
Team
Nature and the Outdoors
Entomology, Environment, Marine and Aquatic Sciences, Outdoor Adventures, Shooting Sports, Soil, Water and Land Use, Wildlife, Natural Resources, Earth Sciences / Ind.
Ind.
Team
Team
CATEGORY / NAME OF 4-H'ER / COUNTY / RACE / DOB / TITLE OF DEMONSTRATION
Plants and Gardening
Plants and Gardening / Ind.
Ind.
Team
Team
Science and Technology
Aerospace, Computer, Bicycles, Electricity, Energy, Geospatial, Robotics, Small Engines, Weather & Climate and Wood Working. / Ind.
Ind.
Team
Team
Speeches must meet format requirements listed in the General Public Speaking section of the Florida 4-H Program Events & Activities Handbook (Publication 4HVOM70).
FORM A