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AG Day Registration Form:
Please register by May 13th, 2024!
Event Dates
K-2nd: May 30th
3rd-6th: May 31st
9:00am - 2:00pm
If you have any questions please contact the following:
Tessa Uehling: Phone: 308-352-8659 Email:
tessa.uehling@perkinscountyschools.org
Cooper Kroeker: Phone: 308-352-6376 Email:
cooper.kroeker@perkinscountyschools.org
Seth Burge: Phone: 308-352-6435 Email:
seth.burge@perkinscountyschools.org
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* Indicates required question
Parent/Guardian Email:
*
Your answer
Participant's Name (first and last):
*
Your answer
Grade in 2024-25 School Year:
*
Kindergarten (Event Date: May 30th)
1st Grade (Event Date: May 30th)
2nd Grade (Event Date: May 30th)
3rd Grade (Event Date: May 31st)
4th Grade (Event Date: May 31st)
5th Grade (Event Date: May 31st)
6th Grade (Event Date: May 31st)
Name of Parent/Guardian (first and last):
*
Your answer
Parent/Guardian Email:
*
Your answer
Parent/Guardian Phone Number:
*
Your answer
Allergies:
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None
Other:
Special Needs/Concerns:
*
None
Other:
How would you like to receive reminders about AG Day?
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Email
Text
Participants T-shirt Size (please let us know if a smaller size is needed)
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Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Other:
By signing your name below you give permission for your child to participate in AG Day.
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Your answer
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