Name ________________________________ County _________________________
Address _______________________________________ City ____________________
State ______ Zip ______ Phone ____________ E-mail _________________________
Name of Spouse (if attending) _____________________________________________
Names/Ages of Children (if attending) ______________________________________
Names of Guests________________________________________________________
Registration includes all scheduled meals from Tuesday supper through Thursday banquet.
Make checks payable to WDACAA. Please return registration form and payment to:
Ross Young
NCCES, Madison County Center
P.O. Box 609
Marshall, North Carolina 28753
| Registration | Number | Cost | Total |
|---|---|---|---|
| Members & Guests | x $40 = | ||
| Member (First time attending a state meeting) | x $0 = | ||
| Spouse | x $20 = | ||
| Children | x $10 = | ||
| Life Member | x $40 = | ||
| Late Registration* After May 7 | XXXXX | $15 = | $15 |
| Early Bird Events - Tuesday, June 26 | Number | Cost | Total |
|---|---|---|---|
| Golf Tournament at Maggie Valley Resort | x $30 = | ||
| Usual score for 18 holes:______ | |||
| Nantahala Raft Trip | x $30 = | ||
| Harrah's Casino | x $5 | ||
| Total Amount Due | |||
| Professional Development Tours | ||
|---|---|---|
| Morning Tours 7:30 am - 11:30 am (no charge) | 1st Choice (#) | 2nd Choice (#) |
| Aquaculture - Cantrell Creek & Bragg Trout Farms | ||
| Taproot Dairy & Mtn. Organic Compost | ||
| Horticulture - Mill Stone Cove, B& L Organics & Frosty Mtn. Christmas Trees | ||
| Vegetables - Dr. Gardner's Tomatoes & Custom Pak | ||
| Will not participate in morning tours | ||
| Afternoon Tours 1:30 pm - 6:00 pm (no charge) | 1stChoice | 2nd Choice |
| Livestock Feeding/Waste Mgmt & King Farm Bison | ||
| John Queen Farms & Mountain Research Station | ||
| Canton Mill | ||
| NC Arboretum | ||
| Will not participate in afternoon tours | ||
| Retired Agents Tour (no charge) | |
|---|---|
| Thursday, June 28 | Total attending |
| Mountain Air Country Club | |
| Spouse & Youth Activities (no charge) | |
|---|---|
| Wednesday, June 27 | Total Attending |
| Prof. Development Tours | indicate above |
| Chimney Rock Tour | |
| Thursday, June 28 | |
| Shopping Tour |   |
| History, Health & Nature |   |
| Pizza Party (not attending banquet) |   |
| Help us plan for meals | |
|---|---|
| # | How many will be attending |
| Early Bird Barbecue (Tue.) | |
| Opening Luncheon (Wed.) | |
| Cookout (Wed.) | |
| Recognition Breakfast (Thur.) | |
| Buffet Lunch (Thur.) | |
| Banquet (Thur.) | |