2025 Cooperative Extension Fire Workshop

✻ = Required

Name ✻

Title ✻

Affiliation ✻

Email ✻

Phone number ✻

The workshop will run from 12PM on April 15 through 12PM on April 17th. Attendees are invited to also attend an optional field tour of the Mariposa Grove of Giant Sequoias on the afternoon of April 17th as well.

What days do you plan to attend? (select all that apply) ✻

April 15 (afternoon only) April 16 April 17 (morning) April 17 (afternoon field tour)

We have booked lodging for April 15th and 16th. Do you expect to need lodging on April 14 or 17th as well? This will require additional costs to be paid to the UC Merced Yosemite Field Station. ✻

Yes on April 14th Yes on April 17th No

Are you a presenter? ✻

Yes No

If you are a presenter, do you need any special accomodations?

Do you have any dietary restrictions? (i.e., Vegetarian, Allergies, Accessibility Requirements) ✻

As part of this hands-on workshop, we want YOU to be a part of it during our mini fire festival! Fire festivals can include elements common to many festivals and outdoor events such as interactive exhibits, informational booths, fire trucks and equipment, food trucks, and live music. They may also include a live burn demonstration and demonstrations of prescribed burning equipment such as driptorches, backpack sprayers, engines, and even helicopters. Demonstrations of equipment may also be a part of the interactive exhibits. This mini festival will not be able to include all of the elements of a full festival, but please let us know what swag, handouts, activities, or other fun fire-related you will be bringing with you for giveaways or demonstrations so that we can plan the space needed to accommodate everyone accordingly. Not sure what you will bring yet? No problem! Just let us know by April 1.

I will bring ________________.

How often do you incorporate fire-related topics into your Extension programming? ✻

Never, but I would like to start! Rarely Sometimes Often All the time! My whole program is focused on fire!

What other Extension-like programs exist in your area to provide fire education to the communities you serve? ✻

What specific goals do you have for attending the workshop? ✻

Registration for the workshop is $275 and includes meals and lodging.

We have a limited number of registration waivers and travel stipends available. If the cost of registration or travel would exclude you from attending, please contact Alison Deak at aldeak@ucanr.edu or (209) 966-2417.

Please check this box to pay the $275 registration fee now

$275.00

The following information is optional and confidential. It is requested to help us document that UC Cooperative Extension is extending services and benefits to everyone who is interested and does not discriminate.

What is your gender?

Man Woman Nonbinary Gender identity not listed Prefer not to state

What is your race/ethnicity? (select all that apply)

American Indian or Alaskan Native Asian Black or African American Hispanic or Latino Middle Eastern or North African Native Hawaiian or Pacific Islander White Race/Ethnicity not listed Prefer not to state

Is there any additional information or questions that you would like to share with the planning committee?