2019 Farm Field Day Registration
* Required
School District
*
Salt Lake City
Granite
Murray
Canyons
Jordan
Required
Name of School
*
Your answer
Principal Name
*
Your answer
School Phone
*
Your answer
Contact Person
*
Your answer
Contact Email Address
*
Your answer
Cell Number
*
Your answer
Number of classes attending from your school
*
1
2
3
4
5
Required
Grade of Class(es)
*
3rd Grade
2nd Grade
Other:
Total number of students attending from your school
*
Your answer
Additional Teacher's Name and Email
Your answer
Additional Teacher's Name and Email
Your answer
Additional Teacher's Name and Email
Your answer
Additional Teacher's Name and Email
Your answer
Additional Teacher's Name and Email
Your answer
School Adress
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
First Choice
*
(a) Tuesday, April 30, 9:20 - 11:00 AM
(b) Tuesday, April 30, 10:45 AM -12:30 PM
(c) Tuesday, April 30, 12:15 - 2:00 PM
(d) Wednesday, May 1, 9:20 - 11:00 AM
(e) Wednesday, May 1, 10:45 AM - 12:30 PM
(f) Wednesday, May 1, 12:15 - 2:00 PM
Required
Second Choice
*
(a) Tuesday, April 30, 9:20 - 11:00 AM
(b) Tuesday, April 30, 10:45 AM -12:30 PM
(c) Tuesday, April 30, 12:15 - 2:00 PM
(d) Wednesday, May 1, 9:20 - 11:00 AM
(e) Wednesday, May 1, 10:45 AM - 12:30 PM
(f) Wednesday, May 1, 12:15 - 2:00 PM
Required
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