Anne Arundel County 4-H Foundation, Inc.
CONTESTS AND SPECIAL EVENTS
Anne Arundel County 4-H Variety Show
Registration Form
Submit completed registration form to the address listed below
Deadline for submission: February 12, 2016
Read the rules carefully before submitting
Only one entry per form
Club Information
Club Name:
Point of Contact:
Telephone:
E-mail:
Signature:
Date:
Form of Entertainment
Skit
Song
Dance
Instrumental
Other
Category / Age Division
GROUP ACT
INDIVIDUAL / DUET ACT
OR
Junior
Senior
Mixed
Junior
Senior
Title of Act
Brief Description for Introduction
University of Maryland Extension programs are open to all citizens and will not discriminate against anyone because of race, age, sex, color,
sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital status, genetic information, or political affiliation,
or gender identity and expression.
Revised December 2015
Anne Arundel County 4-H Variety Show
Registration Form (continued)
Names of performers with ages as of January 1st
Name
4-H Age
Name
Mail completed form to:
Mailing address:
(must be postmarked by deadline)
Anne Arundel County 4-H Foundation, Inc.
ATTN: 4-H Variety Show
P.O. Box 124
Crownsville, MD 21032
Or e-mail address:
aaco4hfoundation@gmail.com
include “4-H Variety Show” in the subject line
2
4-H Age