Last Name * First Name * Participant Type * Single Person 2 Person Family Primary Phone Number * Second person full name Second Phone Number Email Address * Postal Address I'm a member of Nevada Grape Growers & Winemakers * Yes No I currently have vines planted * Yes No I have made wine before * Yes No I plan to attend all scheduled classes * Yes No In order to get full appreciation of home wine making attendance is important I'm interested in adopting vines to care for * Yes No Some existing vines are available to class participants to adopt and care for during the class period Date *