Clone of 2025 Summer Ag Institute Registration

2026 Summer Ag Institute Registration

We welcome teachers to our Summer Ag Institute where you will enjoy two days guest speakers and agriculture tours. Learn about ag careers, technology, and much more to share with your students. Space is limited to the first 12 to register. For more information contact our Ag Lit Coordinator, Susan Kleiboeker, at 618-322-5768 or ccaitc@clintoncofb.org
Teacher Information
Name*

First NameLast Name
School Name*
Grade/subjects taught*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Payment

If you plan to drop off payment at the Farm Bureau office or if your school will be sending a check, please enter only your name in the payment field. Do not enter any credit card information.
Email*
example@example.com

Summer Ag Institute Registration*

Registration fee by Credit Card

$65.00

Registration fee by check to Farm Bureau Office

Your reservation is not guaranteed until FULL PAYMENT of $65 is received to the Farm Bureau office. If you choose to pay this way, you will still be required to put your name in the Credit Card field, but NO CARD NUMBER IS REQUIRED to submit registration.

$ Free

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$0.00

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2026 Summer Ag Institute Registration

Teacher Information

Payment

Credit Card