Virtual fencing General InformationName(Required) First Last PhoneEmail(Required) I would like to join the Quivira Coalition email list. 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If you prefer not to give the other information, write, "N/A" in those fields.Organization affiliation Name of ranch, farm, organization, agency, institution, etc. with whom you are affiliated. You're also welcome to put NA if you're coming as yourself!Role at above organization or affiliation How did you hear about this workshop/event?(Required) Word of mouth Social media Website Newsletter Podcast Radio Print flyer Newspaper Other I'd like to pitch in to help cover costs of this workshop.Most Quivira events are are free! By contributing you help ensure we're able to put on the next event. Yes No Amount I'd like to chip in: Total Credit Card DemographicsThese questions will help us at the Quivira Coalition continue to improve antiracism, diversity, equity, and inclusion in all our programs. Certain questions are optional: you are not required to enter a response about your gender, race, ethnicity or access needs. If you have suggestions or resources you would like to share, please email us at education@quiviracoalition.org.I (or my organization) most strongly identify with the following group(s): Academic (student/researcher/instructor) Established rancher/farmer/producer Beginning rancher/farmer/producer Government agency Nonprofit/foundation Business Tribal (member/leadership/entity) Media Interested youth (25 and under) Other What gender do you identify with? Do you identify as BIPOC (Black, Indigenous, and/or other Person of Color)? Yes No With what race(s) and/or ethnicity(ies) do you identify? Additional InformationDo you require special accommodations or have access needs you'd like us to be aware of?(Required) Yes No While we cannot accommodate all access needs we will do our best! We will reach out with any additional questionsPlease describe your requested accommodations or access needs below:You will have an opportunity to ask questions in the presentation, but if you have any now, please leave any questions you have for the presenter here. (Optional)HiddenClass - ie 401, 201 HiddenProject - ie 23 PCSC-01 HiddenAccount - always 4010 donations EmailThis field is for validation purposes and should be left unchanged. Δ
