2012 Skillathon 101 Clinic Registration form Entries are due by June 8, 2012 Who: Youth ages 9-18 What: Educational clinic for youth interested in participating in skillathon events. For all experience levels from beginners to experts. We will break the kids into groups depending on experience levels. When: Friday, June 15, 2012 Where: NCSU Beef Educational Unit, Raleigh NC Cost: $15 per kid (Includes lunch, and handouts) Instructors: We will have a variety of instructors who are experts in their fields to help teach this event, including past NC 4-H Skillathon team members. Extension Agent:_________________________________________________________ County:_________________________________________________________________ Address:_______________________City_________________Zip__________________ Phone:________________________Email_____________________________________ Cost: $15 per adult Youth Participating Cost: $15 per youth Name ____________________________ Name ____________________________ Age ____________________________ Age ____________________________ Years Judging ______________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________ Name ____________________________ Age ____________________________ Years Judging ______________________