Young Leaders Program

WPA Young Leaders Program

July 16, 2024 – 8am-4pm

Hosted by WPA for students age 13-18 who want to better understand Wisconsin’s pork industry and expand their network of agricultural professionals in the state. Participants will grow their knowledge of pork production, diverse career opportunities, agricultural advocacy, professionalism and more.

REGISTRATION DEADLINE IS JULY 12, 2024!

WPA Young Leaders Program Registration

"*" indicates required fields

How many participants are you regsitering for? (Must be age 13-18 as of Jan 1, 2024) ($10/participant)*

Participant #1 - Name*

First Last

Participant #1 - Age (as of Jan 1)*

Participant #1 - Does the participant have any food allergies? If so, please list below:

Participant #1 - What's the participant's t-shirt size?

Participant #2 - Name*

First Last

Participant #2 - Age (as of Jan 1)*

Participant #2 - Does the participant have any food allergies? If so, please list below:

Participant #2 - What's the participant's t-shirt size?

Participant #3 - Name

First Last

Participant #3 - Age (as of Jan 1)*

Participant #3 - Does the participant have any food allergies? If so, please list below:

Participant #3 - What's the participant's t-shirt size?

Participant #4 - Name*

First Last

Participant #4 - Age (as of Jan 1)*

Participant #4 - Does the participant have any food allergies? If so, please list below:

Participant #4 - What's the participant's t-shirt size?

Participant #5 - Name*

First Last

Participant #5 - Age (as of Jan 1)*

Participant #5 - Does the participant have any food allergies? If so, please list below:

Participant #5 - What's the participant's t-shirt size?

Parents' Name(s)*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Parent/Guardian Release Waiver for participants under 18

I am the parent or legal guardian of the above named participants. I verify that my child meets the participation requirements (13 years of age or older) and has my permission to participate in the WPA Young Leaders Program show. I hereby acknowledge that my child's photograph may be taken by WPA for use by WPA and agree to release and hold harmless the State of Wisconsin, Wisconsin Pork Association, their employees, volunteers, and all parties to whom this or any photograph may be released. It is understood and agreed that neither the State of Wisconsin nor the Wisconsin Pork Association shall be liable for damaged. The named participant(s) does hereby release and hold harmless the State of Iowa, the Wisconsin Pork Association, their volunteers and employees from any responsibility whatsoever resulting from or coming out of participation of the WPA Young Leaders program.

Parent/Guardian: Please type your full name below to agree to the above Parent/Legal Guardian release waiver:*