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2023 Conference Registration
2023 TCAAA AM-PIC Registration - Wichita Falls, TX
TCAAA Member/Participant Information:
Title
(Required)
Mr.
Mrs.
Ms.
Dr.
First Name
(Required)
Last Name
(Required)
Preferred Name (For Name Badge)
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
County
(Required)
District
(Required)
1
2
3
4
5
6
7
8
9
10
11
12
Administration
Other
Please Check all that Apply
Member
Officer/Director/Alt Director
Life Member
Early Career Award
DSA
AA
Retirement Award
Past President
AgriLife Administrator
Address
(Required)
Street Address
Address Line 2
City
ZIP / Postal Code
I Plan to Participate in (Check all that Apply)
Full Conference
Friends and Family Night
Scholarship Dinner
Awards Luncheon
Man of the Year Banquet
Monday Only (select only if you will be a one day attendee)
Tuesday Only (select only if you will be a one day attendee)
Wednesday Only (select only if you will be a one day attendee)
Professional Development Tours 1st Choice
(Required)
Western Tour (American Hat, Fenoglio Boot, and Nokona)
Horticulture Ag Tour (Pecans, Orchids, and Aquaponics)
Ranching Business at its Best (RA Brown Ranch)
Not Attending Tours
Professional Development Tours 2nd Choice
(Required)
Western Tour (American Hat, Fenoglio Boot, and Nokona)
Horticulture Ag Tour (Pecans, Orchids, and Aquaponics)
Ranching Business at its Best (RA Brown Ranch)
Not Attending Tours
Life Member Tour - Sheppard Air Force Base - Monday
(Required)
Please Choose
Yes attending
Not attending
This tour will be held Monday afternoon and only Life Members and their guests may attend.
Spouse/Guest Registration
Yes
If you click yes, a section for spouse/guest information will appear. Spouse/guest registration fee is $125.00. Note: Default fee is for 1 registration, please select the appropriate amount from drop down.
Name
First
Last
Name
First
Last
Spouses Tours (Check if you will be attending)
Monday Spouses Tour
Life Member Tour - Monday (only spouse/guest of a life member
Tuesday Spouses Tour
Western Tour (American Hat, Fenoglio Boot, and Nokona)
Horticulture Ag Tour (Pecans, Orchids, and Aquaponics)
Ranching Business at its Best (RA Brown Ranch)
Youth Tour
Not Attending Tours
Children Registration
Yes
If you click yes, a section for child/children's information will appear. Price: $125.00 Per Child Note: Default child/children registration is set to 1. Please select the correct amount of children's registration fees from the drop down. Waiver forms can be downloaded from TCAAA website. Children under the age of 9 must be accompanied on the Youth Tour by an adult.
Name
First
Last
Youth Tours (Check if you will be attending)
Youth Tour Monday
Youth Tour Tuesday
Need Childcare for MOY Banquet (Tuesday night)
Not Attending Youth Tours
Name
First
Last
Youth Tours (Check if you will be attending)
Youth Tour Monday
Youth Tour Tuesday
Need Childcare for MOY Banquet (Tuesday night)
Not Attending Youth Tours
Name
First
Last
Youth Tours (Check if you will be attending)
Youth Tour Monday
Youth Tour Tuesday
Need Childcare for MOY Banquet (Tuesday night)
Not Attending Youth Tours
Name
First
Last
Youth Tours (Check if you will be attending)
Youth Tour Monday
Youth Tour Tuesday
Need Childcare for MOY Banquet (Tuesday night)
Not Attending Youth Tours
Child 1 Shirt Size
(Required)
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Child 2 Shirt Size
N/A
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Child 3 Shirt Size
N/A
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Child 4 Shirt Size
N/A
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Registration Fees
Note: You must select a fee for either Member/Participant or Life Member. All other fees are optional.
Member/Participant/Life Member Registration
(Required)
1 - Member Registration
1 - Participant/Administrator Registration
1 - Life Member Registration
1 - One Day Registration - Monday
1 - One Day Registration - Tuesday
1 - One Day Registration - Wednesday
Price: $300.00 - Member/Participant - $150 Life Member
Spouse Registration Fee
(Required)
1 - Spouse/Guest Registration Fee
2 - Spouse/Guest Registration Fee
Price: $125.00
Child Registration Fee
(Required)
1 - Child Registration Fee
2 - Child Registration Fee
3 - Child Registration Fee
4 - Child Registration Fee
Price: $125.00 Per Child Note: Default child/children registration is set to 1. Please select the correct amount of children's registration fees. Waiver and Release forms are located at tcaaa.tamu.edu under the annual meeting tab.
Hutchison Drawing Ticket
0 - Hutchison Drawing Ticket
1 - Hutchison Drawing Ticket
2 - Hutchison Drawing Tickets
3 - Hutchison Drawing Tickets
4 - Hutchison Drawing Tickets
5 - Hutchison Drawing Tickets
10 - Hutchison Drawing Tickets
Price: $20.00
Scholarship Drawing Ticket
0 - Scholarship Drawing Ticket
1 - Scholarship Drawing Ticket
2 - Scholarship Drawing Tickets
3 - Scholarship Drawing Tickets
4 - Scholarship Drawing Tickets
5 - Scholarship Drawing Tickets
10 - Scholarship Drawing Tickets
Price: $20.00
Golf Tournament
0 - Golf Tournament
1 - Golf Tournament
2 - Golf Tournament
3 - Golf Tournament
4 - Golf Tournament
Price: $75.00 per person Tournament at River Creek Golf Course in Burkburnett, TX.
Domino's 42 Tournament
0 - Domino 42 Tournament
1 - Domino 42 Tournament
2 - Domino 42 Tournament
3 - Domino 42 Tournament
4 - Domino 42 Tournament
Price: $25.00 per person at the hospitality room in Home2 Suites.
Casino Tour
Please Choose Casino Tour Option
Attending Casino Tour
Not Attending Casino Tour
Sunday afternoon from 12-4 at the Commanche Casino Red River in Devol, OK.
Extra Scholarship Night Meal Tickets
0 - Extra Scholarship Night Tickets
1 - Extra Scholarship Night Ticket
2 - Extra Scholarship Night Tickets
3 - Extra Scholarship Night Tickets
Price: $50.00
Extra Man of the Year Banquet Tickets
0 - Extra Man of the Year Banquet Tickets
1 - Extra Man of the Year Banquet Ticket
2 - Extra Man of the Year Banquet Tickets
3 - Extra Man of the Year Banquet Tickets
Price: $50.00
Extra Friends and Family Night Meal Tickets
0 - Extra Friends and Family Night Tickets
1 - Extra Friends and Family Night Ticket
2 - Extra Friends and Family Night Tickets
3 - Extra Friends and Family Night Tickets
Price: $35.00
Extra Awards Luncheon Tickets
0 - Extra Awards Luncheon Tickets
1 - Extra Awards Luncheon Tickets
2 - Extra Awards Luncheon Tickets
3 - Extra Awards Luncheon Tickets
Price: $35.00
Total
Payment Type
(Required)
Credit Card
County/Personal Check
Split Payment (Credit Card and County/Personal Check
Please indicate how you will submit payment. Payment information with credit card link will be included in your confirmation email.
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