4-H Family Apple Sauce Cooking Workshop

Adult Registration

Required fields are indicated with an asterisk (*)

Adult Information

* First Name

* Last Name

Pronouns

* Address

Addt'l Address

* City

* State

* Country

* Zipcode

* Phone Number

* E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

Contact Information Cont.

Are you interested in receiving text message reminders for this program? * Yes No

If you selected yes, please enter a phone number that can accept text messages Family is responsible for any charges that may be charged by the phone carry to deliver messages.

Event Registration

* I would like to register for this event

Adult Demographics Information MSU Extension is interested to know more about who is attending programs to help identify potential gaps in audience reach. The following questions are optional to answer but we would appreciate any information you would be willing to give to help us understand more about our audiences served.

* Residence Type

* Age

Military Status * I am not serving/nor have I served in the military I am serving in the military I am a veteran Prefer not to state

* Branch and Component of Service

Contact Information

If you have any questions or concerns, please reach out to Berrien County 4-H Program Instructor, Noah Cardew, at 269-927-5674 ext. 4012 or cardewh1@msu.edu.