First Name ✻
Last Name ✻
Email Address ✻
County
ZIP Code
Registration fee ✻
Lunch
Lunch will be provided. Do you want a vegan or vegetarian option for lunch?
The following information is optional. It is 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?
Are you Hispanic or Latino? (Hispanic or Latino: a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)
What is your race? (check all that apply)