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2020 TSSRM Youth Range Workshop Application
June 21 - 26, 2020 – Texas Tech University Junction Campus – Junction, TX

It is understood that if this application is accepted, a check for $400 must be submitted by May 31, 2020 to cover the applicants meals and lodging, made payable to “TSSRM Youth Activities Committee”. Check will be mailed to Jenny Pluhar PO Box 931 Canyon, TX 79015. Transportation to and from the workshop will be the responsibility of the local sponsoring group, the county agent, agriscience teacher, or advisor of the organization you're representing, or the participant.
Fellowship and Leadership are a big part of YRW
First Name *
Last Name *
Age as of June 20, 2021 *
Date of Birth *
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DD
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School Classification for the '19-'20 school year *
Male/Female *
Address *
City *
State *
Zip *
County *
Email Address *
Cell Phone (your cell phone number) *
First and Last name of Parent *
Parent Email Address *
Parent Cell Phone Number *
Do you have rangeland plant identification experience? If so, how much? *
T-Shirt Size *
Name of Extension Agent, Teacher, or Advisor *
Email of Extension Agent, Teacher, or Advisor *
Sponsor Group/Organization (this is the group providing funding for you to attend the workshop, if any)
Email of Sponsor Group/Organization Representative
Do you have any food allergies or any other health issues we should know about? Explaining clearly (certain foods, severity, etc.) will enable us to make any arrangements or take any precautions to ensure a safe experience for everyone!
Do you understand.....that you must send payment or make arrangements to do so by JUNE 1, 2021. Payment mailed to Jenny Pluhar, P.O. Box 931, Canyon, TX 79015 or Dan Caudle, 3604 Cliff View
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