2026 Texas Pork Youth Retreat Application

Texas Pork Youth Retreat

This application must be completed in one setting. The application form will not save if you exit your browser.
Applications are open to students going into 7th to 12th grade. With limited spots available, spots will be filled on a first-come, first-served basis.

A few things to note before applying...
- All campers will be staying at a hotel close to the Texas A&M University campus. Junior ambassadors and the Director of Youth and Communications will be staying there as well.
- All campers will take part in the farm-to-fork activities, including harvesting.
- All campers will be required to pay the camp fee and complete the TPPA housing form before coming to camp.
Requirements for all attendees:
- Students must be going into 7th to 12th grade
- Texas 4-H or FFA member
- Complete and agree to all activity forms within this application.
Once this application is completed, TPPA will then review the application to ensure the applicant meets the requirements. An approval will be sent to the applicant with a payment link as admittance to the Texas Pork Youth Retreat.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MaleFemale
Birthday*
Upcoming Year in School*

Emergency Contact Information
Parent/Guardian's Name

First NameLast Name
Relation to participant
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Emergency Contact Name

First NameLast Name
Relation to participant
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Medical Information
YesNo
If yes, please specify.
Please list any additional medical needs or information staff should be aware of. *

Medical Information and Authorization for Medical Care

In case of sudden illness or accident to the below participant, requiring immediate treatment or surgery while in route to this activity, while there as a participant, and/or while returning from the event, I authorize Texas Pork Producers Association personnel serving as chaperon(s) to take such action as deemed appropriate to protect the health and physical well-being of the participant. This authorization extends to any physician or surgeon selected by the chaperon(s) to perform medical or surgical procedures necessary to preserve the life or well being of the above named participant. The following information is provided as an aid to the chaperon(s)in dealing with the well being of the named person.
This authorization covers participant name* during his/her travel to/from and participation in the Texas Pork Youth Retreat from June 11-14.
The participant has the following conditions (include such things as handicaps, diabetes, asthma, allergies and medications needed):*
Parent or Gaurdian Signature*

Activites Permission Form

We want to provide each student with the best personal learning opportunity possible. Often, the students will have a close and sometimes “hands-on” involvement in the activities about which they are learning. These activities include being around machines and utensils used in meat processing plants, farms, and feed manufacturing. After many years of sponsoring educational events and minimizing the risk associated with these activities, we have had no accidents or injuries to students or chaperons during our camps. However, you need to be aware that the risk of accidents or injuries does exist. We will have skilled and trained professionals working with us in all of these activities. We will work to reduce the possibility of accidents as much as possible and still maintain a personal learning experience for the students. In addition, we will be participating in recreational activities such as: color runs, relay events, and other activities. The students will be with the chaperons and the other participants, and will be allowed to participate in the normal and usual activities during the recreational period. However, you need to beaware that the risk of accidents or injuries does exist. We ask that you review this information and the retreat schedule of activities before you sign the form below. If you have any questions, please contact Riley Reep at 806.705.6800.
As the parent/guardian of participant name*, I give permission for this individual to participate in the following activities during the Texas Pork Youth Retreat:
All Activities including the group recreational activities of the dances, relay events, and other activities.All Activities except the group recreational activities of the dances, relay events, and other activities.Other
If other, please explain:
Parent or Guardian Signature*

Travel and Lodging Information
DrivingFlying
If flying, TPPA staff will be reaching out for further details. Otherwise, campers should plan to arrive between 1 pm and 2 pm.

For questions, please contact riley@texaspork.org.
Roommate Requests (Optional): This year, campers will stay in hotel rooms with up to four campers per room. You may list the names of other campers you would like to room with who are also applying. While we will do our best to honor requests, we cannot guarantee specific roommate placements.
Application Agreement

By signing and submitting this application, I agree that I will attend the 2026 Texas Pork Youth Retreat, if selected. Upon selection, I agree to pay the $200 non-refundable retreat fee by May 1st. If my fee is not paid by this date, I will forfit my spot for this event.
Applicant Signature
For questions, please contact the Director of Youth and Communications, Riley Reep, at 806-705-6800 or riley@texaspork.org.
Should be Empty:

Texas Pork Youth Retreat

Emergency Contact Information

Medical Information

Medical Information and Authorization for Medical Care

Activites Permission Form

Travel and Lodging Information

Application Agreement