Request edit access
Power Couples Registration
University of Maryland Extension Farm Stress Management Couples Retreat
Sign in to Google to save your progress. Learn more
Email *
This is a pre-registration form only. Payment will not be collected at this time. In order to secure your spot, UME staff will contact you in January when payment will be collected.

For more details about the event, please review this flyer for the retreat.
Name *
Phone Number *
County *
What type of farming do you do? *
Do you have any food allergies? (We are providing two lunches and one breakfast for attendees.) *
Do you require any special accommodations?
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Maryland, College Park. Report Abuse