Farmer Social: Beginning Farmers & Farmworkers

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Farm Name (if applicable)

• How long have you owned or managed a farm?

  • More than 10 years
  • 5-10 years
  • 4 years or less
  • I don't currently operate a farm but I want to
  • I don't currently operate a farm and I don't wish to
• We are hoping to offer child care during this event so that all are able to join us! If you are interested in this option, please provide the age(s) of the kid(s) who would need care.

Friend Information

You may add a maximum of 4