YF&R Conference Registration Form

Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you a Farm Bureau member*

YesNo
Favorite song!*
Please check all that apply:*

Collegiate MemberCounty YF&R ChairFarmer/RancherAgribusinessFirst Time AttendeeOther
Do you have any dietary restrictions?*

No special dietary needsGluten freeNut allergyOther (please specify)
Industry Tours

Tours are held on Friday, January 27. This is an opportunity to tour agriculture related businesses from 1:30-5:00 p.m. in and around Kearney. Buses will leave the hotel promptly at 1:30 p.m.
Will you attend the pre-conference industry tours?*

YesNo
Discussion Meet

Each participant will receive a $10 refund at the end of the conference for participating.

The Discussion Meet competition simulates a committee meeting where discussion and active participation are expected from each participant. This competition is evaluated on an exchange of ideas and information on a pre-determined topic. Participants build basic discussion skills, develop a keen understanding of important agricultural issues and explore how groups can pool knowledge to reach consensus and solve problems. Members who typically do well in this competition are up to date on current Farm Bureau policy and issues and are able to clearly articulate their points and bring the group to a consensus.

The four finalists from the YF&R Conference Discussion Meet will compete in the Discussion Meet at the Nebraska Farm Bureau Annual Convention in December 2023 in Kearney. Nebraska award winners will receive $500 and an expense paid trip to the national YF&R competition at the American Farm Bureau Annual Convention in January 2024. National award winners will be eligible for thousands in additional prizes and money.
Will you be participating in the Discussion Meet competition on Saturday?*

YesNo
Add additional attendees*

YesNo
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
County
Phone Number
Please enter a valid phone number.
Email
example@example.com
Are you a Farm Bureau member

YesNo
Please check all that apply:

Collegiate MemberCounty YF&R ChairFarmer/RancherAgribusinessOther
Do you have any dietary restrictions?

No special dietary needsGluten freeNut allergyOther (please specify)
Will you attend the pre-conference industry tours?

YesNo
Will you be participating in the Discussion Meet competition on Saturday?

YesNo

Registration Options

Full Conference

$100 Quantity

Saturday Only

$50 Quantity

Student - Full Conference

$50 Quantity

Enter coupon

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Industry Tours

Discussion Meet