October Artificial Insemination Course

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

When/ Cuando:

October 9th 9 am - 3 pm (9 de octubre)

October 10th 9 am - 3 pm (10 de octubre)

Where/ Donde:

Bach Farms

W861 Co Rd A

Dorchester, WI 54425

Cost/ Costo (Includes student manual, snacks and lunch, and instruction):

$125

Registration Deadline with course fee paid: September 25th

Fecha limite de inscripcion: 25 de septembre

Participation is limited to the first 15 people that complete payment

PARTICIPACIÓN SE LIMITA A LAS PRIMERAS 15 PERSONAS QUE COMPLETEN EL PAGO

Refund policy/ Politica de reembolso:

Refunds are on a case by case basis and determined by the UW-Extension Marathon County. No refunds after the registration deadline.

Los reembolsos se realizan caso por caso y los determina el condado de UW-Extension Marathon. No se realizarán reembolsos después de la fecha límite de inscripción o después de que se haya enviado por correo el manual del curso.

First Name/ Nombre

Last Name

Mailing Address/ Dirección:

City State Zip/ Ciudad/Código postal:

Phone Number (Number where you can be reached during the day)/ Teléfono

Email/ Correo electrónico:

Would you prefer a Spanish version of the workbook?/ ¿Documentos en español?

Yes

Clear selection

What kind of operation do you operate?

Beef

Dairy

Clear selection

Do you have special dietary needs? Necesidades alimenticias especiales:

Please read the following information and check the box indicating your agreement.

Por favor lea la siguiente información y marque la casilla que indica su acuerdo

The educator(s) presenting may take photos for promotional purposes for future events. If I don't want my photo to be taken, I will contact the educator via email to heather.schlesser@wisc.edu, The educators(s) presenting may be taking participant testimonials for promotional and reporting purposes; all testimonials will remain anonymous.

Las educadoras que presenten podrán tomar fotografías con fines promocionales para eventos futuros. Si no quiero que me tomen una foto, me comunicaré con la educadora por correo electrónico a heather.schlesser@wisc.edu . Las educadoras que presenten pueden estar tomando testimonios de los participantes con fines promocionales y de presentación de informes; Todos los testimonios permanecerán anónimos.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of UW-Madison Google Workspace.

Does this form look suspicious? Report

Forms