Application to Appear in a Granpa Cratchet Video

Application to Appear in a Granpa Cratchet Video
Contact Person Information
Contact Person Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Child Information
Child Information*
How are you participating?*
- Club Info
- Club Name*
- Club Location*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Club Leader Name*
  
  First NameLast Name
- Club Leader Email*
  example@example.com
- Club Leader Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Present your 4H projectPresent your 4H animalGame Show (two to four contestants)One-On-One Quiz with GranpaInterviewShow & Tell
- Describe your project/ animal (If applicable)
  Please be specific on what objects or type of animal you will be bringing.
- Parent(s)/Guardian(s)Club LeaderOther (Please describe who else may come)
- When would be the best time for you to come to Studio A? This is NOT the final date. This helps us plan, but the final date will be confirmed later. *
  Month
- Day of Week
- AfternoonsEveningsWeek DaySaturday
- School Info
- Home School Area # (If available)
- Present your school projectTalk about school subjectGame Show (two to four contestants)One-On-One Quiz with GranpaInterviewShow & Tell
- Describe your project or what subject you would like to talk about. (If applicable)
  Please be specific on what objects you will be bringing.
- Parent(s)/Guardian(s)Co-Op LeadersOther (Please describe who else may come)
- When would be the best time for you to come to Studio A? This is NOT the final date. This helps us plan, but the final date will be confirmed later. *
  Month
- Day of Week
- AfternoonsEveningsWeek DaySaturday
- Game Show (two to four contestants)One-On-One Quiz with GranpaInterviewShow & Tell
- Is there anything special you would like to talk about or do in the video? (Present a project, talk about a subject, celebrate a birthday, etc) If so, please describe below.
  Please be specific if you are bringing objects to present for show and tell.
- Parent(s)/Guardian(s)Other (Please describe who else may come)
- When would be the best time for you to come to Studio A? This is NOT the final date. This helps us plan, but the final date will be confirmed later. *
  Month
- Day of Week
- AfternoonsEveningsWeek DaySaturday
- Should be Empty:

Application to Appear in a Granpa Cratchet Video

Contact Person Information

Child Information

Club Info

School Info