Event Registration

Number of Attendees: First Name: Last Name: What are your pronouns? Email: Phone: Farm, Business, or Organization (if applicable): Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia 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 American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip: - Zip Suffix County: How did you hear about the conference? NOFA-NY's eNews NOFA-NY's Website NOFA-NY's Facebook NOFA-NY's Instagram Organic Farmer's Association's Organic Voice Morning Ag Clips Email Purchase College Word of Mouth I've been attending for years! Would translation services help you understand a presentation that is given in English? If so, what language? What category best describes you? Advocate Conscious Eater Farmer Farmworker Gardener Service Provider If you farm, what type of farmer or farmworker are you? If you farm, is the operation Certified Organic? Yes No In Transition If you identify as Black, Indigenous, Latinx, Asian, or SWANA, would you like to receive information about In Rooted in Community Affinity Space? If you are a Jewish Farmer or attending the conference with a Jewish family member or friend would you like to receive information about Shabbat Dinner? I'd like to opt-in to receive communications from Hudson Valley Farm Hub. I'd like to opt-in to receive communications from Farm Credit East. I'd like to opt-in to receive communications from Fedco Seeds. I'd like to opt-in to receive communications from Green Jay Landscape Design. I'd like to opt-in to receive communications from Morning Ag Clips. I'd like to opt-in to receive communications from NY Agriculture and Markets. What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65 or Older Please specify your race or ethnicity. Choose all that apply. Not listed above? Please specify. Please specify your gender identity. Choose all that apply. Not listed above? Please specify. Do you identify as any of the following? Choose all that apply. If you have a coupon, please enter code here (case-sensitive):