Registration Information

Click here to view and download the terms and conditions.

Register beginning at 10:00 a.m. EDT on August 10, 2021

Registration Type – Choose One

- Single Hotel Room & Registration - $1,300.00

- Double Hotel Room & Registration (ONE BED) - $950.00
* Double occupancy rate is Per Person

- Double Hotel Room & Registration (TWO BEDS) - $950.00
* Double occupancy rate is Per Person

Please note that you will register one attendee at a time. The registration confirmation will be sent to the attendee's e‐mail address. The registrant may also provide an alternate e‐mail address for the confirmation to be e‐mailed to a county Farm Bureau representative (such as the county secretary).

Tour seating is limited and available on a first come, first served basis. The non-refundable registration fee includes flights, bus transportation, other planned group activities, hotel rooms (room and tax only), group meals, and snacks. Please note the details stated in the “Terms & Conditions” here.

Payment may be made by Credit Card or by Check (to be mailed to Kentucky Farm Bureau Federation the same day as instructed on your confirmation).

Click here to download the information needed to register.

Attendee Information

Name (First and Last)

Name (As listed on Driver's License or picture ID)

Name Badge (First Name)

Date of Birth ﴾MM/DD/YYYY﴿

TSA Number (if applicable)

Gender

County

Mailing Address (Street, City, State, Zip Code)

Attendee E‐Mail Address

Alternate E‐Mail Address (County Farm Bureau contact - optional)

Mobile Phone Number

Home Phone Number
 
Emergency Contact Information

Emergency Contact - Name

Emergency Contact – Relationship

Emergency Contact - Home Phone

Emergency Contact - Mobile Phone

Travel Preferences

Name of person, if known, with whom you wish to room

Dietary/Special Needs