AG Day Registration Form:

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Please register by May 15th, 2025!

If you register after May 15th, your child will NOT receive a t-shirt.

Event Dates
K-2nd: June 2nd
3rd-6th: June 3rd

9:00am - 2:00pm

If you have any questions please contact the following:

Tessa Uehling: Phone: 308-352-8659 Email: tessa.uehling@perkinscountyschools.org

Cooper Kroeker: Phone: 308-352-6376 Email: cooper.kroeker@perkinscountyschools.org

Luke Minster: Phone: 308-352-6247 Email: luke.minster@perkinscountyschools.org

Gabby Bazan: Phone: 308-353-0577 Email: gabby.bazan@perkinscountyschools.org

Doug Babbitt: Phone: 308-289-0889 Email: doug.babbitt@perkinscountyschools.org

Email *

Participant's Name (first and last):
*

Grade in 2025-26 School Year:
*

Kindergarten (Event Date: June 2nd)

1st Grade (Event Date: June 2nd)

2nd Grade (Event Date: June 2nd)

3rd Grade (Event Date: June 3rd)

4th Grade (Event Date: June 3rd)

5th Grade (Event Date: June 3rd)

6th Grade (Event Date: June 3rd)

Name of Parent/Guardian (first and last):
*

Parent/Guardian Email:
*

Parent/Guardian Phone Number: *

Allergies:
*

None

Other:

Special Needs/Concerns:
*

None

Other:

How would you like to receive reminders about AG Day?
*

Text

Participants T-shirt Size (please let us know if a different size is needed)
*

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Other:

By signing your name below you give permission for your child to participate in AG Day.
*

A copy of your responses will be emailed to the address you provided.

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