Mississippi Heirs Property Summit

Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Organization
Title*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Heirs’ property owner (I inherited land / family land)Family member of an heirs’ property ownerI expect to inherit family land in the futureLandowner (not heirs’ property)Forest landowner / timberland ownerCommunity member (general interest)Community-based organization / nonprofit staffLegal services / attorney (legal help)Government agency staff (county/state/federal)Extension / university staffOther
N/AVeganGluten-FreeFood Allergies?
Please List Food Allergies Here
Social MediaPodcastRadioWebsiteWord of Mouth
Registrants must be 18 years of age or older. Attendees under 18 years of age must be accompanied by an adult.

Waiver and Release

* T.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., is hosting this event. T.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., accepts no responsibility for any damages or injuries caused by attendance at or participation in this event.

CONSENT: By registering and/or participating in any T.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., Program meeting, program, or other activities, registrant or participant agrees that T.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., may photograph, videotape, or digitally record registrant or participant and may use his/her likeness/image, voice, and name in any T.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., Program-related media and publications, including website entries, without payment or any other consideration. Registrant and participants also agree that T.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., Program has the right to edit, alter, copy, exhibit, publish, or distribute his/her name, voice, and image/likeness for purposes of publicizing theT.I.M.E. INC., TO IMPROVE MISSISSIPPI ECONOMICS, INC., Program or for any other lawful purpose.
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Optional Demographic Information

Demographic information is requested solely for the purpose of determining compliance with federal civil rights law, and your response will not affect your eligibility to participate in T.I.M.E. INC., programs. By providing this information, you will assist us in assuring that T.I.M.E. INC., programs are administered in a nondiscriminatory manner.
Gender
18-3031-5050+
WhiteBlack / African AmericanAmerican Indian / Alaska NativeAsianNative Hawaiian / Other P. IslanderTwo or more racesOther/Unidentified
Not Hispanic or LatinHispanic or LatinoUnidentified
YesNo
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Optional Demographic Information