Eastern States Exposition 4-H New England Center Activity Information Request Form 2024
Directions: Please complete this registration form by August 25. Make sure the information on this form is accurate. Please also remember to submit a separate list of all leaders and chaperones.
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Contact Person
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Dates in the New England Center
# of 4-H Participants
# of Chaperones
# of PODS you will use
Stage use (Please specify times)
Any 4-H'ers with special needs? If yes, please specify and suggest accommodations needed.
Specialty Items needed (supplies, Demonstration Mirror, etc.)
Stage Items Needed (Tables, wireless mic, chairs, etc.)
Will anyone be serving food? Name of Person ServSafe and Allergen trained. Please make certain to bring copies of the ServSafe and Allergen Certificates.
Have you sent photos to display? How many?
Would you like your photos mailed back after the fair?
Yes
No
Have you sent posters to display? How many?
If you need photos and/or posters mailed back, please provide the best name and address for shipping.
First Name
Last Name
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many displays/table top exhibits will you be bringing for the back table in POD area?
Have you sent 4-H brochures for your state?
Yes
No
Do you assign your POD tables to particular groups/clubs?
Yes
No
Do you want ribbons or certificates to give to participants? Please check one.
Ribbon
Certificate
None Needed
Have you registered your group for the 4-H Parade at https://www.thebige.com/paradeapplication?
Yes
No
Please attach list of chaperones below. The authorized state list will prevail.
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