subject_line
Participant Information
Full Name
*
School Attending? Choose one
*
Rabbit (9 remaining)
Poultry (12 remaining)
Cavy (30 remaining)
Cloverbud - Rabbit (4 remaining)
Cloverbud - Cavy (10 remaining)
Cloverbud - Poultry (4 remaining)
T-Shirt Size
*
youth small
youth med
youth large
adult small
adult med
adult large
adult XL
adult 2XL
adult 3 XL
Regestration Fee
*
$50.00
extra lunches (mom, dad, brother or sister)
*
0
1
2
3
4
5
What is is your Ethnic background?
*
Native American
African-American
Asian
Hispanic
White/Caucasian
Prefer not say
Cages
*
0 - not bringing an animal or bringing own cage
1 - 1 pen per animal bringing 1
Bringing Animal
*
Yes
No
Parent Information
Full Name
*
Address 1
*
Address 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip
*
Phone
Email Address
*
What is is your Ethnic background?
*
Native American
African-American
Asian
Hispanic
White/Caucasian
Prefer not say
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