Tractor and Farm Safety Registration Form 2025

If you have questions or concerns, feel free to call 920-206-8000 or email WttnOffice@madisoncollege.edu

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* 1. I understand attendance to all classes is required for WI Certification.

I understand.

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* 2. Student Information

Child's First Name

Child's Last Name

Child's Date of Birth

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* 3. For High School Age Student - Following information is REQUIRED

Highest Grade Completed

High School last attended or attending

Anticipated HS graduation date

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* 4. Student's Email Address
Using the Parent's email will cause an issue in our system if you ever want to take a class or have taken a class. Most students use their school's email address.

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* 5. Parent/Guardian Information

First Name

Last Name

Phone Number

Street Address

City

State

County

Zipcode

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* 6. Parent's Email Address

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* 7. Emergency Contact (someone other than yourself)

First Name

Last Name

Phone Number

Relationship

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* 8. What is your t-shirt size? (Adult Sizes)

Small

Medium

Large

2XL

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* 9. Anything else you'd like us to know about your child (e.g. mobility issues etc.)?

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* 10. By filling out this form you are agreeing to be billed for the above classes via mail.

I understand.

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* 11. Please Read Carefully

Cancellation Policy: Minimal enrollment requirements must be met to run a class. If a class has insufficient enrollments, it will be cancelled 5–7 days prior to the start date. In the event of a class cancellation, our staff will attempt to reach students using the contact information on file with the school.

Refund Policy: Students are responsible for all tuition and fees unless they drop the class 24 hours prior to the class start date. Refunds will be issued in accordance with the WTCS Refund Policy. If you do not officially drop a class, you will be billed for it even if you do not attend.

Payment Policy: In the event that I fail to timely comply with the payment obligations of Madison College, I agree to pay all collection costs incurred by Madison College.

Waitlists: If a class is full, you will be contacted and have the option to join the Waitlist. If a space becomes available, you will be contacted by our office.

EEO Statement: Madison Area Technical College does not discriminate on the basis of race, color, national origin, sex, disability, or age, in employment, admissions, or its programs or activities.

I understand.

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* 12. Demographic Survey: The State of Wisconsin requires Madison College to request the following demographic data to satisfy our State reporting requirements. Your participation is optional. Select all ethnicities the student identifies with (optional)

White (includes origins of Europe, North Africa or the Middle East

Black/African American

Hispanic/Latinx

Hmong

American Indian/Alaska Native

Asian

Cambodian

Pacific Islander

Other

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* 13. Student's Gender (Optional)

Female

Male

Non-binary

Transgender

Not listed

Prefer not to answer

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* 14. Anyone under the age of 16 needs to complete The Under 16 Registration Form.

Complete the linked form and upload your filled document.

PDF, DOC, DOCX file types only.

Choose File

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* 15. All participants need to complete Waiver Liability Form.

Complete the linked form and upload your filled document.

PDF, DOC, DOCX file types only.

Choose File

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* 16. All participants need to complete the Consent for Release of Student Information Form. This form should be filled out by the STUDENT in order to be able to release records to parent/guardian.

Complete the linked form and upload your filled document.

PDF, DOC, DOCX file types only.

Choose File

Tractor and Farm Safety Registration Form 2025

Question Title

* 1. I understand attendance to all classes is required for WI Certification.

Question Title

* 2. Student Information

Question Title

* 3. For High School Age Student - Following information is REQUIRED

Question Title

* 4. Student's Email AddressUsing the Parent's email will cause an issue in our system if you ever want to take a class or have taken a class. Most students use their school's email address.

Question Title

* 5. Parent/Guardian Information

Question Title

* 6. Parent's Email Address

Question Title

* 7. Emergency Contact (someone other than yourself)

Question Title

* 8. What is your t-shirt size? (Adult Sizes)

Question Title

* 9. Anything else you'd like us to know about your child (e.g. mobility issues etc.)?

Question Title

* 10. By filling out this form you are agreeing to be billed for the above classes via mail.

Question Title

Question Title

* 12. Demographic Survey: The State of Wisconsin requires Madison College to request the following demographic data to satisfy our State reporting requirements. Your participation is optional. Select all ethnicities the student identifies with (optional)

Question Title

* 13. Student's Gender (Optional)

Question Title

* 14. Anyone under the age of 16 needs to complete The Under 16 Registration Form.

Question Title

* 15. All participants need to complete Waiver Liability Form.

Question Title

* 16. All participants need to complete the Consent for Release of Student Information Form. This form should be filled out by the STUDENT in order to be able to release records to parent/guardian.

* 4. Student's Email Address
Using the Parent's email will cause an issue in our system if you ever want to take a class or have taken a class. Most students use their school's email address.