2012 UWRF Falcon Ag Challenge Registration Form
Please submit registrations by noon CDT on Tuesday, October 9th. Late registrations will be accepted as space allows.

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School Name *
FFA Chapter ID *
enter the four digits of your chapter number (no letters please)
Teacher First name *
Teacher Last Name *
Teacher email address *
Teacher phone number *
Full Name of chaperone if teacher is not attending
Phone number of chaperone if teacher is not attending
Teacher/chaperone event work preference *
New this year: meals including a sandwich, chips, dessert & drink will be availble for purchase at the Dairy Learning Center following the contest. Please enter the number of meals your school is likely to purchase.
Team Registration
Please select the appropriate team type for each event. A team can have up to 5 individuals. The top 3 scores will be used to determine team awards.
Dairy Cattle Evaluation *
Horse Evaluation *
Livestock Evaluation *
Poultry Evaluation *
Added Practice Individuals
We will accept added individuals as space allows. We will not be able to accommodate additional students in the Dairy Cattle, Horse or Livestock Events.

Please type the number of practice individuals below.
Poultry - Practice
Type the number of Practice individuals you would like to participate
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