Event Registration

First Name: Last Name: Farmers Market affiliation: Address: City: State: 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 American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip: - Zip Suffix Email: Can we list your contact info to be shared with other attendees? Yes No What is your ethnicity/cultural heritage? If none of the options above apply, please write in how you identify your ethnicity/cultural heritage. How do you describe yourself? If none of the options above apply, please write in how you describe yourself. What range best describes your age? Under 18 18-25 26-40 41-65 65+ What language(s) are you most comfortable communicating in? If none of the options above apply, please write in what language you prefer to communicate in: Accessibility Needs: Are there any barriers to your participation in this online event? If so, we will do our best to address these. If you have a coupon, please enter code here (case-sensitive):