Registration Form Online

Register for the Entreprenuership Conference workshops of your choice.

Held on Friday, June 20, 2008, 8:30 a.m.- 3:30 p.m. 

 

Name :
Age :
Required for Civic Rights purposes.
Gender :
Required for Civic Rights purposes.
Ethnic Background :
Street Address :
City :
State :
Zip :
if minor
Name of parent/guardian :
Home phone :
Cell phone :
Email address :
if applicable
4-H Affiliation :
Please list any restrictions/allergies/special arrangements that you may have or need: :
How did you hear about this conference? :
Please check one box for the workshop you want to attend each session. Only one workshop per session.
Workshops :
   

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