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Entrepreneurs academy urban farming class registration
Name
First Name
Last Name
Phone
Email
(Required)
Address
(Required)
Race
(Required)
American Indian or Alaskan Native.
Asian / Pacific Islander.
Black or African American.
White
Other
Gender
(Required)
Female
Male
Transgender
Non-binary/non-conforming
Prefer not to answer
DOB
(Required)
MM slash DD slash YYYY
Are you a veteran
(Required)
Yes
No
Ethnicity
(Required)
Hispanic
Non-Hispanic
Are you a reentry citizen
(Required)
Yes
No
Prefer not to answer
Do you identify as a member of the LGBTQ+ community
(Required)
Yes
No
Prefer not to answer
Why are you intrested in Urban Farming
(Required)
Hobby
Health/ Better eating habits
economic development
other
