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Food & Farm Activist Camp August 10th -16th Sidekick Maine Registration Form Please mail your completed registration form ASAP to reserve your space. If your organization/farm will be sending more
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Select... AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code or Phone Number: Organization: Business: Phone Number: Tell us a bit about yourself, your farm, and how you hope to use the camp. Tell us about a previous or current experience as a farm organizer or farm advocate. Tell us about what kind of experience you have in the field! What role have you had in farm advocacy? What are you hoping to gain as a result of the camp. Tell us an aspect of farm advocacy that you think we might not be aware of. How would people contact you about your message? Tell us about a time when you spoke to a legislative body who was considering regulations affecting your farm. What are you hoping to accomplish with the camp? Please list dates, times and approximate numbers of people to come. For what time would you like your camp to happen? How would people contact you about your message? How would people get to your site? Mandatory fields are marked with an asterisk (). 1. Please list the names, addresses, and phone numbers of all people coming with you to the camp. 2. Please include your email subject line, so we can contact you about the camp. 3. To whom would the camp be directed? Required fields are marked with an asterisk (). 4. A brief description of your camp, including the purpose and participants. Required fields are marked with an asterisk (). 5. Please indicate the date by which the camp will run.

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