ADDRESS:   

CITY:             

STATE:      ZIP: 

PHONE:          ALTERNATE PHONE:  

EMAIL:    

CROP REGISTRATION FOR:

All Day 10am-10pm $50 per person / $180 per quad Half Day - 10am-4pm $35 per person / $120 per quad Half Day - 4pm-10pm $35 per person / $120 per quad

HOW MANY ARE IN YOUR GROUP:   

NAMES OF OTHER ATTENDEES:    

If you have any special needs, i.e., dietary, physical, etc... Please let us know.
We would like to accommodate everybody.

HOW DID YOU HEAR ABOUT THIS EVENT:   

PAYMENT OPTIONS: Check, or Money Order (credit card payments are accepted by this organizer - please contact her to make these arrangements).

Crop Fee based on type of registration - See above listing

send registration fees to:

Joyce Klein, Volunteer Event Sponsor
5851 E. Waters Edge Dr.
Columbia, MO 65202

I understand that registration is not complete until my crop fee has been paid.

Completed registrations will receive a confirmation email once payment has been received.