2023 NCTA Ag Teacher Bootcamp Registration
Registration Form- Any Questions please contact Dr. Douglas Smith at 308.367.5286 or 281.415.5271 or via email at doug.smith@unl.edu
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Name *
Email Address *
Address *
Phone Number *
School Name *
2 or 4 Day option *
If 2 day option selected, please select dates (Check in evening before)
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Dietary Restrictions *
Monday (26th) AM Session Selection *
Monday (26th) PM Session Selection *
Tuesday (27th) AM Session Selection *
Tuesday (27th) PM Session Selection *
Wednesday(28th) AM Session Selection *
Wednesday (28th) PM Session Selection *
Thursday (29th) AM Selection *
Thursday (29th) PM Selection *
Will be taking for Graduate credit or Transitional Hours  *
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