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Workshop Registration

First name *

Last name *

Email address *

Best Phone Number for Day(s) of Event Contact *

County or Collegiate Program Name

List any dietary restrictions.

Select the workshop(s) you will be attending. *

Friday ONLY - Ag in the Classroom Fall Volunteer Training ($20)

Saturday ONLY - Leadership Bootcamp ($20)

Friday AND Saturday - Ag in the Classroom Fall Volunteer Training and Leadership Bootcamp ($30)

Do you plan to attend the Pre-Conference New Ag in the Classroom Coordinators Session? *

Yes - I will attend in-person

Yes- I will attend virtually

No - I will attend the New Coordinator Session

Please select your t-shirt size. *

Adult Small

Adult Medium

Adult Large

Adult XL

Adult XXL

I will be attending the Friday Evening Networking Dinner at LaClare Farms. ($15) *

Yes, I plan to attend the Friday Evening Networking Dinner ($15)

No, I will not be attending the Friday Evening Networking Dinner ($0)

Choose your Friday dinner option *

Turkey Chevre - Roasted turkey, LaClare's Chevre, mixed greens, and fig preserve on toasted rye. Served with chips and a pickle.

Gourmet Grilled Cheese - Roasted tomatoes, bacon, LaClare's Jack on sourdough bread. Served with chips and a pickle.

Caprese Salad - Spring greens, topped with grilled chicken, LaClare's Mozzarella, balsamic glaze, pesto, and roasted tomatoes. Served with a breadstick.

Please list any dietary restrictions for Friday evening's meal. *

Select a payment option. *

Online with a credit card

Mailing in a check

Invoice my county Farm Bureau

Name as it appears on credit card * 🛈

If paying by check, please send payment now to:
Wisconsin Farm Bureau Foundation
PO Box 5550
Madison, WI 53705

Upon submission, if paying by credit card, you will be automatically directed to the online shopping cart to complete your online registration. If registering by check, please send in immediately.

You will receive a copy of your registration via email upon submission.