Virtual Ag Open House Registration
Thank you for your interest in the Middletown Agriculture Science Program! This form will ensure your registration for our live Zoom presentation on November 17, 2021 @ 7pm. We will send you the meeting link, and also some information you can explore on your own time.

The mission of the Agriculture Program is to provide instruction leading to a career in agriculture upon completion of high school and/or to prepare students for entrance into a two or four year college.

We are now accepting student applications for the 2022-23 school year.

We are an educational program available to high school students from:
Chester, Clinton, Cromwell, Deep River, Durham, East Hampton, Essex, Guilford, Haddam, Killingworth, Madison, Middlefield, Middletown, Portland, Old Saybrook, Rocky Hill, and Westbrook.
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Student Name: *
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Student current grade: *
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Student current school: *
Parent/Guardian Name (s): *
Parent/Guardian Mailing Address(es): *
Parent/Guardian Email Address(es): *
Parent/Guardian # 1 Phone(s): *
Student Email Address:
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Were you referred by a current or former Ag student? If so, please let us know who, so we can thank them! :)
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