Ag Legacy Registration

✻ = Required

First Name ✻

Last Name ✻

Affiliation (Ranch, Farm, Agency, Organization) ✻

Email Address ✻

Mailing Address ✻

City ✻

Zip Code ✻

Registration Details Information

Registration ✻

$20.00 Quantity: required charge

Name and email of additional guest(s)

Student

$10.00 Quantity:

Booth Registration- includes 2 registrations/dinner tickets, 6 foot table for booth/display during the event, recognition on promotional materials and acknowledgment during the event

$250.00

Baseline Information

This will help our speakers plan their presentations to better serve you as attendees

What is your relationship to production agriculture? (MARK ALL THAT APPLY) ✻

Currently own and/or manage a farming or ranching operation A family member of someone who owns a farm or ranch An employee on a farm or ranch Agribusiness owner (crop protection construction etc.) A service provider (lender consultant broker attorney insurance extension etc.) Government personnel (NRCS FSA CA Department of Ag etc) Other (non-ag business) Student

Which of the following statements is true for you? ✻

Retiring Generation - I am currently or will be transitioning out or away from owning or managing the farm/ranch/business Successor Generation - I am currently or will be transitioning into owning or managing the farm/ranch/business Unsure Role - I have the potential but am unsure if I will "take over" the farm/ranch/business in the near future The farm/ranch/business of interest will most likely not continue to be owned and/or managed by family None of the above statements apply to me

What is the current status of your estate plan? ✻

Plan is completed Plan is partially complete I have started my plan There is no plan Not applicable

Do you have a personal will? ✻

Yes, and I feel it is current Yes, but I should update it In progress Not yet

Do you have specific questions regarding estate planning that you would like to get answered during this event?

Invitation to Self-identify Gender, Ethnicity, and Race

The following information is optional. 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?

Female Male Gender identity not listed

What is your ethnicity?

African American (not of Hispanic origin) American Indian or Alaska Native Asian Caucasian Hispanic or Latino Native Hawaiian or other Pacific Islander Race not listed

The University of California Division of Agriculture & Natural Resources (UCANR) is an equal opportunity provider. (Complete nondiscrimination policy statement can be found at http://ucanr.edu/sites/anrstaff/files/215244.pdf). Inquiries regarding ANR’s nondiscrimination policies may be directed to UCANR, Affirmative Action Compliance Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1343.

Ag Legacy Registration - March 2025