Registration Form
Carbon Farming Workshop, Coolringdon, 3rd November
Participant Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact Number
*
Farm Business/Company
Town or Locality
*
Enterprise Mix (select all that apply)
*
Broadacre Cropping (incl hay)
Broadacre Livestock
Broadacre Cotton
Pastoral - Livestock
Intensive Animal
Horticulture
Other food/fibre production
Conservation/rehabilitation
Participant type
*
Farmer/Land Manager
Agribusiness
Student
Other (please specify)
Gender
*
Please Select
Female
Male
Other
Prefer not to say
Age
*
Please Select
Under 20
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 - 79
80 and over
Are you of Aboriginal or Torres Strait Islander origin?
*
Please Select
Yes
No
Prefer not to say
Are there any particular questions or areas you're interested in when it comes to carbon, emissions or how this ties in with farming?
Do you have any dietary requirements? Please specify.
Submit
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