Content One form per 4-H'er CEA Registration Form email Required name Required First Required Last Required phone number Address Address Address 2 City/Town Required State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code 4-H Age Illustrated Presentation Prepared 4-H Speech/Reading PSA Public Service Announcement (please submit file to be pre-judged) Prepared Non-4-H Speech Impromptu Speech Video Communication (Please submit digital file) no Clover Kid Music & Talent (Local Only) Clover Kid (ages 5-7) Jr Music & Talent (Local Only) Junior Ages 8-10 Int Music & Talent (Local Only) Intermediate Ages 11-13 Sr Music & Talent (Local Only) Senior (ages 14-18) Vocal Solo Vocal Duet Self - Accompanied Vocal Solo Self - Accompanied Vocal Duet Piano Solo Piano Duet Instrumental Solo Instrumental Duet Talent Solo Talent Duet Group Entry Group Entry Describe & list Names Please tell us which county contest you will be entering. Blaine, Hooker & Thomas is April 6th. Grant County will be April 17th Additional Information Please feel free to add a note here for us. After you are happy with the form please click on the submit button. Thank you. Leave this field blank