4-H Spectacular Youth Leadership Institute

Youth Presenters Register Here

Required fields are indicated with an asterisk (*)

Registrant Information

* First Name

* Last Name

* Address

Addt'l Address

* City

* State

* Zipcode

* Cell Phone Number

* County

* E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

Registration Information

Registration options * I would like to register as a Session Instructor or Speaker ($75.00)

Roommate Request (for those selecting Double Occupancy option above)

Accommodations

Accommodations If you have special needs and want to request an accommodation, please provide details regarding your needs in the accommodations area below.

Accommodations:

Dietary Needs and Requests:

Accessibility Needs and Requests:

Contact Information

For more information, please contact Roxanne Turner, MSU Extension Educator, at 517-546-3950 or turnerr@msu.edu or Janelle Stewart, MSU Extension Educator, at 517-264-5307 or stewa191@msu.edu.