Youth for the Quality Care of Animals (YQCA) Training - August 2, 2019 at the Southern Piedmont AREC in Blackstone, VA
This form is the FIRST step in completing your registration for the YQCA Training that will be held on August 2, 2019 from 1:00 pm - 4:00 pm at the Southern Piedmont AREC, 2375 Darvills Road, Blackstone, VA 23824. Registration will begin at 12:30 and the training starts promptly at 1:00 pm. Once you have completed this form the next step will be sent in an email with a coupon code that you will need to enter into the YQCA portal. This code covers the cost of the training for youth participants.

If you have questions or need more information contact Cynthia Gregg at 434-848-2151 or email clgregg@vt.edu.

Youth for the Quality Care of Animals (YQCA) is a national multi-species quality assurance program for youth ages 8 to 21. An in-person YQCA workshop requires complete attendance. The program has been designed by extension specialists and national livestock program managers to ensure it is accurate, current and relevant to the needs of the animal industry and shows and is appropriate for youth.
Email address *
What is the youth's first name? *
What is the youth's last name? *
Youth birth date (MM/DD/YYYY)
Youth age as of 12/31/2018 *
What is the parent/guardian name? *
Parent contact phone number *
What county do you live in? *
Please list any food allergies or sensitivities. Snacks/meals will not be provided but food items may be used in the educational process. *
Please check any of the following assistive services that you may need:
Clear selection
For the second step of the registration you must use the YQCA portal. I understand that I must register through the YQCA portal prior to the training and if I do not utilize the YQCA portal that I will not receive my certification. *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Virginia Tech. Report Abuse