Canadian Young Speakers for Agriculture

First Name *

Last Name *

Email Address *

Street Address *

Address Line 2

City *

Province *

Postal Code *

Phone in September *

Picture (recent face shot for judges' use only) *

Maximum upload size: 134.22MB

Allergies or Food Restrictions

Yes

No

Description

Please add any food allergies or dietary restrictions here.

Date of Birth *

Topic

Please enter any topic related to Agriculture, Aquaculture, Food Science or Food Security within a Canadian context.

Language of Delivery *

English

French

I understand that I will not be considered as an applicant until CYSA Inc. has received my entry fee. I also understand the rules and regulations of the competition, and agree to abide by them and accept the prizes as awarded. *

I agree

Registration Type *

Payment Method *

PayPal or credit card

Cheque

If paying by cheque, please make payable to "Canadian Young Speakers for Agriculture Inc."

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CYSA Inc. is funded in part by: