Registration

2026 Winter Federation Fun Day

Federation members in Adams, Brown, Hancock, Pike and Schuyler Counties are invited to a Winter Federation Fun Day on Sunday, January 18 from 1-3 PM, in Quincy. We will meet at The KC Range (830 S 36th St, Quincy, IL 62301) where lunch will be provided. Federation members will spend time golfing, networking, and sharing ideas for activities in their counties.

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Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

Federation Member Name (first and last)

What county are you a Federation member in?

Adams

Brown

Hancock

Pike

Schuyler

Please choose which type of pizza you prefer

Buffalo Chicken (Mozzarella, chicken, buffalo sauce, ranch, thinly sliced celery)

Texas Wedge (mozzarella, BBQ Brisket, Onion rings)

Cheese

Pepperoni

Sausage

Ham

Do you have any dietary restrictions or allergies? If yes, please list.

I permit University of Illinois to take my photo during participation in the federation event and to use my photo for promotional purposes.

Yes

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race