Soil, Seeds, and Water Boot Camp Workshop

www.ToImproveMS.org

Please complete the form to register for this workshop!

Workshop Dates You Will Attend | All Times 10:00am - 12:00pm CST

Full name

First NameLast Name

Email address

Confirmation Emailexample@example.com

Phone number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Select Your Ward

Other Ward

Years of experience operating any farm, ranch, or garden

Primary occupation in farming/ranching/agricultural production

Demographic race group(s) identified with

Ethnicity

Active duty in the U.S. Armed Forces

Data Privacy & Statistical Disclosure Notice
The demographic, scale, and operational information requested in this form is collected strictly for internal workshop planning, regional program development, and federal grant performance reporting. To protect your privacy, all data will be aggregated and anonymized before being shared with any third-party entities, academic institutions, or federal partners (such as the USDA). No individual identities, specific farm locations, or proprietary business details will be disclosed. Providing this data is entirely voluntary, but it greatly assists us in ensuring our agricultural programs are accessible, equitable, and aligned with federal support standards for historically underserved producers.

Data Privacy & Statistical Disclosure Notice

Soil, Seeds, and Water Boot Camp Workshop

Participant Profile