2014 Eastern Kentucky Beekeeping School

2014 Eastern Kentucky Beekeeping School
REGISTRATION FORM
To be held at: Hazard Community & Technical College
First Federal Center Building
One Community College Drive
Hazard, Kentucky 41701

- Kelley's will be attending this event.

January 18th, 2014: Registration, coffee & donuts to begin at 8:00AM
Opening Session: 9:00AM - School will conclude by 3:30PM

Please print clearly or type:

Name(s): ________________________________________________
________________________________________________
Address: _________________________________
City: ___________________ State: _____________ ZIP: ___________
Phone: __________________(phone number is optional)
Email Address: ___________________________

PRE-REGISTRATION FEES. – Lunch included
-$20.00 per adult
-$10 each for High School, Elementary School students and younger children
SPECIAL FAMILY RATES
MUST BE ADULTS (MAXIMUM 2) & CHILDREN FROM SAME HOUSEHOLD
- WITH ONE ADULT & 2 OR MORE CHILDREN – $30
- WITH TWO ADULTS & 2 OR MORE CHILDREN – $50

For multiple participants from one household, list all names above on one form.
(Make note if participants are school age.) You may also combine fees into one check.
**Questions about registration or event cancellation call Charles May at 606-436-2044 or
email: cmay@uky.edu day of the event call (606) 438-5043.
Mail registration form & check to:

Perry County Cooperative Extension Office
933 Perry Park Rd.
Hazard, KY 41701

Adults ($20 each) _____________
School age children ($10 each) _____________
TOTAL OR FAMILY RATE _____________

MAKE CHECK PAYABLE TO: Perry County Extension Service
(REGISTRATIONS AT EVENT will be $25 per adult & $15 for High School & Elementary
School students and younger children. To take advantage of pre-registration rates, form and
payment MUST be received by January 13th)

(The following information will aid us in planning class content of future schools. )
Are you currently a beekeeper? YES NO
Years of beekeeping experience: ___ _____
Number of hives currently managing: _____ _
Lots of
Door
Priz

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