Weed Day 2024

Participant's first name  

Participant's last name  

Badge name (type first/nickname in ALL CAPS)  

Company  

Mailing address  

City  

State  

Zip code  

Phone (primary)  

Phone (secondary)  

Email address  

Dietary restrictions
No restrictions
Vegetarian
Vegan
Gluten-free
Lactose-free
Other  

Description of OTHER dietary restrictions  

How did you hear about this event?
Received an email
Supervisor/colleague
Newspaper/trade publication
Online/social media
UC Weed RIC website
Other (describe below)  

Describe OTHER (how did you hear about this event)  

I have read and understand the REFUND POLICY for this event. (For refund policy, click EVENT DETAILS link (top of page.))
Yes