DUE: JUNE 15, 2018
AG CONFERENCE SERVICES, 430 Student Union
ROUNDUP ADULT REGISTRATION FORM
One form must be completed for each adult attending Roundup
District County Gender
Name Work Phone
Educator Certified Volunteer “OCES Approved”Intern
Cell #Email Address
List area of interest (for assignments)
If you are in charge or have been asked to assist with an event or activity, please list below:Event/Activity/Etc.
Dates and Times
For individuals with disabilities who require auxiliary aids or services for program participation, please identify the accommodation/service needed when submitting this form. Advance notice is necessary for effective service provision; it may not be possible to provide some aids and services with late notice. Reasonable effort will be made to accommodate individuals who request auxiliary aids or services.
EACH ADULT WILL BE ASSIGNED TO ASSIST WITH ROUNDUP ACTIVITIES.
Please rank top three choices per day (except Friday).
L:Roundup\Forms/Supradlt.docrevised 3/99
*** Rank top three choicesper day***WEDNESDAY CHOICES
Rank / Chair / TitleAssist with Spotlights and AV at Assembly
Assist with Seating By District at Assembly
Asst. with Technology (facebook, twitter, trivia, etc)
Communication Contest
FCS Skill-a-thon
ATV Safety Contest
Job Readiness Evaluation
Vocal Contest
Educational Workshops
Assist with Buses for Workshops (help youth and adults load)
Picnic (crowd control/monitor trash/etc.)
Driver (MUST provide bus to workshops/contests)
Dance
Other Evening Entertainment
Pizza Distribution
THURSDAY CHOICES
Assist with Spotlights and AV at AssemblyAssist with Seating by District at Assembly
Asst. with Technology (Facebook, Twitter, trivia, etc.)
Tractor Workshop and Contest
Land Judging Contest
Job Readiness Interviews and/or Workshop
Livestock Quiz Bowl
Clover Quiz Bowl
Food Showdown
Educational Workshops
Assist with Buses for Workshops (help youth and adults load)
Driver (MUST provide bus to workshops/contests)
Rehearsal for 4-H Has Talent(includes assisting with event on Friday)
Rehearsal for Honor Assembly
Asst. with Honor Night Seating Prior to and during Assembly
Honor Night Assembly
Dance
Other Evening Entertainment
Assist with Voting
Pizza Distribution
FRIDAY CHOICES
Assist with Spotlights and AV at AssemblyAssist with Seating by District at Assembly
Asst. with Technology (Facebook, Twitter, trivia, etc.)
4-H Has Talent (includes rehearsal on Thursday afternoon)
(for office use only)
Wednesday:Event: ______Location: ______Time: ______
Thursday: Event: ______Location: ______Time: ______
Friday:Event: ______Location: ______Time: ______