Please fill in the required information on this page and then print and send the form to the address below, If you can not print this form please write the information on a piece of paper and send to the same address. For security, this information is NOT submitted to any email or databases and must be printed on your personal printer AND SNAIL MAILED OR FAXED.

To download a printable registration PDF file click here

Please use a new form for each student.

 
 
First Name:
   
 
Last name:
   
 
Address:
     
 
City:
St ate Zip :
     
 
Phone:
Email:
     
 
School:
Grade: 9th 10th 11th 12th
   
 
Arrival
(Check one) on Friday Saturday

For those arriving on Friday night, activities will be planned by the State FFA and 4-H Officer teams. Affordable housing is also available.

 

     
 
Assignments

1. - Please include a well written essay describing your involvement in agriculture in one page or less:

Prizes will be awarded in each of the following categories:

  • the most involved in agriculture,
  • most unique,
  • most dedicated
  • best written
  • most humorous.

2. - Please include one or two pictures of your farm, animal, project, boat, tractor, chainsaw or anything that will represent your involvement in agriculture. Digital submissions will be accepted.

3. - Please include a recipe - We are collecting recipes to be added to the AlaskaGrown website cookbook. Please send one or more of your favorite recipes using AlaskaGrown items. (AlaskaGrown items must be commercially available at the grocery store or farmers market at some time during the year).

  T-Shirt

Please indicate your tee shirt size, the shirt will be a new edition small 4 color AlaskaGrown logo Tee on a 50/50 t-shirt.

     

  Parental Permission

I give my child permission to participate in the Alaska Youth in Agriculture Conference to be held in Anchorage, Alaska on November 16th.

Parent/Guardian signature _______________________________ Date : __________________

Phone number_________________________________ email ___________________________

 

 

Registration

Student Registration:

  • Registration with RSVP (received before 11/11/02) . . . . . . . . . . $15.00
  • Registrations with RSVP before 11/11 accepted at the door . . . . . $18.00
  • Late registrations with no RSVP at the door (if space available). . .$20.00

Adult Registrations add $5.00 to the above prices.

Prices includes lunch, t-shirt, conference materials and nutrition breaks.

   
   
   
 

Follow this link to make payment by Credit Card

 

RSVP

 

To RSVP send an email to , fax to 907-474-1538, or call the Alaska FFA at 907-474-6932

To pay with credit card please click the payment button on the registration page of this web site.

For any questions please direct your inquiries to the above contact information.

 

Print and mail this form with payment, pictures, and essay to:

Alaska State FFA, P.O. Box 757200, Fairbanks, AK 99775.

If paying with credit card, please write your order number on this form

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