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ES-237 Attendance Registration Form

Note: This information is required by the USDA. It is also used to confirm your attendance numbers when tabulating your bill. Please complete this form and present it along with payment to Patti Sisk, our Administrative Associate, upon arrival. All information on this form is confidential and will not be identified with your school when used for reporting purposes. Thank you for your cooperation.


ES-237 ATTENDANCE REGISTRATION FORM
Name of group:
County:
Dates attending:
YOUTH
MALE FEMALE
White    
Black    
Hispanic    
Asian    
Other    
Subtotal    
Total Youth  
ADULTS
MALE FEMALE
White    
Black    
Hispanic    
Asian    
Other    
Subtotal    
Total Adults  
GRAND TOTAL  
 
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UGA The University of Georgia
College of Agricultural and Environmental Sciences
Cooperative Extension

The University of Georgia and Ft. Valley State University, the U.S. Department of Agriculture and counties of the state cooperating
The Cooperative Extension offers educational programs, assistance and materials to all people without regard to race, color, national origin, age, sex or disability. An equal opportunity/affirmative action organization committed to a diverse work force