Exit this survey Amazing Agriculture Adventure Registration 2013 1. Default Section Question Title Question Title * 1. Venue Choice (please select one) Brandon, Manitoba – Keystone Centre – June 4 & 5, 2013 Winnipeg, Manitoba - Kelburn Farm & Glenlea Research Station Hwy 75 just south of Wpg. - Sept. 17, 18 & 19, 2013 Question Title * 2. Date Preference: 1st Choice: 2nd Choice: Question Title * 3. Teachers Name: Question Title * 4. School Name: Question Title * 5. Grade level(s): Question Title * 6. Total Number of Students: Question Title * 7. Mailing Address: Question Title * 8. E-mail Address: Question Title * 9. Phone Number: Question Title * 10. Fax Number: * Please note if your number of students changes prior to the event please advise as this can impact our station activities.** Sorry, we cannot guarantee date preference. Enrolment is limited. Instructions for the day/event, a list of needed items and resource information will be mailed in May for the Brandon event and in August for the Winnipeg event. Please share this information with other teachers in your school. Done