Please register no more than two people on this form. If you have a large group to register, call Nancy at 937-365-0101.

STEP ONE--FILL OUT THE FORM BELOW

Registrant's name
Single or Double Registration	Single                Double
If double registration, name of partner
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 two people, do you prefer shared or separate beds?      Shared Bed         Separate Bed  If you already have a lodging partner, is this person included in your registration fee or are they submitting separately?                                               Included         Submitting Separately                   If you do not already have a arranged partner but are willing to share a room, please register at the higher private room price but be sure to check "Yes, please look." We will match you with the first available partner of the same gender who is also looking to share a room. If we find a partner for you we will lower your fee to the shared price and notify you. Would you like us to look for you?                                                Yes, please look           No, I don't need you to find me a partner

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. There is no limit to space.

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: $1100/person shared lodging with partner; and $1325/person for a private room.

A $300.00 deposit is due to hold each person's reservation if you are registering before January 12, 2009. After that time, full registration is due. Sorry, no guarantee on full refunds for cancellations after January 12th unless your space can be refilled.

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

For maximum accuracy in payment and registration, after you submit this registration we will give you a link for a mail-in payment form to be included with either your deposit or full 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 greatly preferred to credit card payments as we have not included credit card overhead charges (usually around 5%) in our fee structures to keep these programs as affordable as possible.

STEP FOUR:  INCLUDE WAIVER

Also after you submit this registration form, we will give you a link to a waiver form. Please print off, read, and if you agree with the contents, sign this waiver and include it your above mailed payment and payment form.

STEP FIVE:  QUESTIONS?
Call Nancy Stranahan at 937-365-0101 or write director@arcofappalachia.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 is assured as soon as payment 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.