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 Pam Barnaby, 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.
The University of Georgia and Ft. Valley State University, the U.S. Department of Agriculture and counties of the state cooperating
The Cooperative Extension Service 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
