EKFC 2023 Registration Form with Payment

Eastern Kentucky Farmer Conference Registration

The 2023 EKFC will be held Friday February 24 through Saturday February 25 at Pine Mountain State Park, near Pineville in Bell County.
Please note that overnight lodging is not included in conference registration. If you plan to stay overnight, arrangements must be made directly with the Park. There is a block of 42 rooms available. The lodge rooms are available for $49.95 per night plus taxes and fees. The one bedroom cabins are available for $79.95 plus taxes and fees. The two bedroom cottages are available for $89.95 plus taxes and fees. You can reserve a room at the group rate until January 24, 2023. Call the park at 606-337-3066 or make an online reservation using group booking code 2896. Rooms and cabins at the park are now full. The closest lodging will now be in Middlesboro.
If you have questions about registration or about the conference, contact Laurie White at laurie@cfaky.org or call or text 859-428-7961 or visit cfaky.org/2023-eastern-kentucky-farmer-conference/
Number of adults attending*
If more than 3 adults are attending, please complete a separate registration form for additional adults. *Only one coupon code can be applied per form.* If you will use coupon codes for more than one attendee, please complete a separate form for each attendee with a coupon code.
Adult Attendee Full Name*

First NameLast Name
E-mail*
Enter noemail@email.com if no email is used.
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please indicate any dietary restrictions

No restrictionsVegetarianVeganGluten freeOther
(optional) We are trying to plan our programming to serve all community members with care and respect. Please help us by marking all categories that you identify with:

Black or African AmericanHispanic, Latino/a or of Spanish originAmerican Indian or Alaska nativeAsianNative Hawaiian or other Pacific IslanderWhiteVeteranDisabledLGBTQIA+prefer not to answerOther identity:

Youth registration
Number of youth (ages 10-17) attending*
Youth ages (10-17) are welcome to attend youth sessions on Saturday. Younger children may attend sessions with a trusted adult.

Payment
PAYMENT

Payments are processed through Square. You may pay using any major credit card/debit card.*

Both daysFriday and Saturday (includes dinner Friday, breakfast and lunch on Saturday)

$40.00 Quantity
Item subtotal:$0.00

Friday only (includes dinner and dancing)

$25.00 Quantity
Item subtotal:$0.00

Saturday onlyincludes breakfast and lunch on Saturday

$25.00 Quantity
Item subtotal:$0.00

Youth entry (ages 10-17)includes all meals (Friday dinner, Saturday breakfast and lunch)

$10.00 Quantity
Item subtotal:$0.00

Enter coupon

Total

$0.00

Credit Card

I am a .... (mark all that apply)

farmertechnical assistance providerspeakerexhibitorconference partner/sponsorOther
How did you hear about the conference?

from a friend or colleaguefrom an extension agent or other farm support professionalfrom a newsletterfrom social mediafrom the newspaper or radioOther
Award Nomination - EKY Farmer Leader Award
Please submit the name of a *farmer* who has been a leader in the ag community, someone who has brought innovations to EKY agriculture, been a mentor to other farmers and impacted their local community for the good of all. This award is for an EKY farmer.
Thank you for registering.

We look forward to seeing you in February. Is there another farmer who would be a good fit for the conference? Please share.
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Eastern Kentucky Farmer Conference Registration

PAYMENT

Credit Card

Thank you for registering.