testing-ground

Name *

First Name

Last Name

Courtesy Title (Dr., Rev., etc)

Credentials (MD, PhD, EdD, LPC, RN, etc.)

What company, agency or organization do you represent?

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip

Email Address *

Best Phone Number *

Check all that apply regarding your planned participation: *

I am registering for the pre-conference research discussion on March 11.

I am registering for the pre-conference farm tour on March 11.

I am registering for the Georgia Farm Stress Summit on March 12.

I am registering as a vendor for the Georgia Farm Stress Summit on March 12. I understand space is limited and my participation as a vendor must be confirmed by the Georgia Agricultural Wellness Alliance prior to attendance.

Please list any dietary restrictions:

For more information and questions contact:

John McElveen
Ed.D, Director, Georgia Agricultural Wellness Alliance
mcelveen_j@georgiaruralhealth.edu

Visit gafarmstress.org/stress-summit2026 for conference agenda details.

Georgia Farm Stress Summit Registration