Please register no more than two people on this form. If you register on one form, you will be assigned the same room. If you wish separate rooms, please submit two forms. If you have any questions or require custom registration (for example, if you are registering three people and wish to all share a room, or you wish to camp), call Nancy Stranahan at 937-365-0101 before filling out this form.

STEP ONE--FILL OUT THE FORM BELOW

Registrant's name
Are you requesting Lodging?	Yes                  No
Name of Person sharing this Registration form, if any.
Street Address
City
State
ZIP
Day Phone	necessary for registration
Evening Phone	recommended
3rd Phone	optional
E-mail	necessary for confirmation
Associated Organization (if any)
Position in  Organization (if any)
Associated Website (if any)

If registering two people, do you prefer shared or separate beds?      Shared Bed         Separate Bed  If you have a lodging partner, is this person included in your registration fee or are they submitting funds separately?                                               Included         Submitting Separately                   If you do not already have a arranged partner but wish to share a room, be sure to check "Yes, please look." We will try to find another person of same gender who is also looking to share a room. If we don't find a partner and we reach full occupancy, we will notify you and let you deicide to either decline participation or pay the single occupancy rate.                                               Yes, please look for a partner           Don't look. I wish to pay the single occupancy rate

Are you planning on bringing your own kayak or canoe? If so, please give us the details of what you are bringing. Please know that because the Boundary Waters have a restricted permissible group size, you may not use a single occupancy craft on these trips, nor will your registration fee be lowered if you have your own boat. Only boats which can carry at least two people can be used.

 

Do you have any special dietary desires or food allergies?

Do you have any medical conditions that might require attention while hiking outdoors such as a heart condition or allergy to bee stings?

Do you have an unusually deep background or abiding interest in a particular natural history topic or realm?

Notes, comments, questions  --please take as much room as you need.

STEP TWO SUBMIT EMAIL REGISTRATION

When you are finished reading this page, click on the button below and we will register you, We will send you back an email confirmation within 24-48 hours.

STEP THREE  SEND PAYMENT BY MAIL

Cost of the program is as follows: $875.00/person with double occupancy lodging (may choose two single beds or one double bed), $1500/person with private room OR $650/person for full curriculum and meals but no lodging (if you wish to camp it might be able to be arranged for a surcharge. Please inquire.)

A $300.00 deposit is due to hold each person's reservation if you are registering before May 10, 2010. After that time, full registration is due. Sorry, no guarantee on a full refund for cancellation after May 10th, unless your space can be filled by another registrant.

Please note the full trip amount that you calculate will be owed for all registrants on this form:
Please note the amount you personally will be sending in the mail at this time:

After you submit this registration we will provide you a link for a mail-in payment form to be included with either your payment. Please run off the form send it to us in the mail within ten days of your email registration, with your check enclosed. Checks are requested as we have not included credit card overhead charges in our fee structure (usually between 3 - 5%) and we wish to keep our programs as affordable as possible.

STEP FOUR:  INCLUDE WAIVER

A waiver is required for participation. After you submit this registration form, we will provide you with a link to a waiver form. Please print off, read, and sign this waiver; including it your above mailed payment and payment form.

STEP FIVE:  QUESTIONS?
Call Nancy Stranahan at 937-365-0101 or write director@highlandssanctuary.org.

Thank you so much for registering! So long as the course description does not shows the words: "Course is filled" near the field trip's title, we still have spaces open and your registration will be confirmed as soon as payment or deposit is received. If there are any availability issues, we will contact you immediately by phone or email.

THANKS AGAIN! WE ARE GREATLY LOOKING FORWARD TO YOU JOINING US ON THIS TRIP. Please click to submit.