Horticultural Connections Registration
Deadline: September 15.

Questions? Contact the chairperson, Dr. Michael Rethwisch
Phone: (760) 921-5064
Email: mdrethwisch@ucanr.edu
Age (as of December 31 of current year) *
Youth First & Last Name *
Your answer
Youth Address *
(Street, City, State & Zip)
Your answer
Youth Date of Birth *
MM
/
DD
/
YYYY
Youth Email *
Your answer
Youth Cell Number *
Your answer
Adult Leader Name *
Your answer
Adult Leader Address *
Your answer
Adult Leader Email *
Your answer
Adult Leader Cell Number *
Your answer
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