Summer Ag Institute 2024 Registration

Summer Ag Institute 2024 Registration

JULY 10TH - 12TH
Suggested Grade Levels 5-12
Don't wait to register! Space is limited to 20 seats!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
At what school do you teach?*
What grade level(s) do you teach? (Click all that apply.)

3rd4th5th6th7th8th9th10th11th12th
What subject areas do you teach?*
Do you plan to apply for 22.5 PDCH's?*

YESNO
If you are applying for PDCH's please provide your IEIN # below.
Lunch and snacks are included! Do you have any dietary restrictions?*
Is there anything else you would like for us to know? If you have any questions that need to be answered please direct those to sarah@ccfarmburea.com.
The registration fee for SAI 2024 is $50. How would you like to pay?*

I will mail a check to the CCFB Foundation. I understand that the check must be received by June 21st or I will forfeit my spot. (Leave credit card info blank and "submit".)I am paying online today with a credit card. (Price includes $1.80 convenience fee.)

PAY BY CREDIT CARD REGISTRATION

Summer Ag Institute RegistrationRegistration for 1 Teacher - 3 Days

$51.80

Total

$0.00

Suggested Grade Levels 5-12