5/03/24 Farm Connection Day Class Registration

You are responsible for providing chaperones, lunches, and water.

If you have any questions, please email or call 530-662-6316.

Please note that you will not be registered for this event unless you click the SUBMIT ORDER button on the Check Out page!

Personal Information

Title

First Name

Last Name

Email Address

School Phone Number

Cell Phone Number

For use in case of Emergencies on Event Day Only!

School Fax Number

School Name

Student Count

Grade

School Mailing Address

School City

School State

School Zip Code

Mode of Transportation

Other Mode of Transportation

Submit