BEFORE REGISTERING BE SURE TO FULLY EXPLORE
FIELD TRIP OPTIONS
AND READ THROUGH THE SCHEDULE Go back to
main pilgrimage page
______
Registration Number
______Date
Received
Dear Friends,
Our 2009 registration form will be published sometime in January of 2009. Until then, please see below to get some idea of what 2009 will look like. Thank you.
Registration Form for the
2008 Southern Ohio Wildflower Pilgrimage
April 17, 18, 19, 20 2008
A $25.00 REGISTRATION FEE/PERSON WILL BE RETAINED FOR
ALL CANCELLATIONS
PRIOR TO ONE WEEK PRIOR TO THE EVENT. SORRY, NO REFUNDS FOR CANCELLATIONS AFTER THAT TIME.
Dear Friends,
Please print off this 3 page form. include your check, and send to to:
Arc of Appalachia Preserve System, 7629 Cave Rd., Bainbridge, OH 45612
Registration
Questions? Please call Nancy Stranahan at 937-365-0101
Name: _________________________________________________
Address: _______________________________________________
________________________________________________________
Work Phone _____________________________
Home Phone _________________________________
E-mail Address, necessary for confirmation of registration:
________________________________________________________
Total Number of People Attending with this registration: _______________
Names of Other People attending with this registration:
________________________________________________________
________________________________________________________
________________________________________________________
REGISTRATION
REFER TO
SCHEDULE TO MAKE YOUR DECISIONS
Enter the number of people registering for each item.
.
# ORDERED
Total
____ X $65.00 = ______
Field Trips for Entire Event -- all 3 days
---OR---
____ X $35.00 = ______ Just ONE Day of
full field trips:
Check one: ____ Friday ____Saturday
---AND/OR---
____ X $20.00 = ______
Sunday Only -A half day of field trips
_____ X $20.00 = _______ Special Children's Pricing for Saturday Children's Program only
_____ X $15.00 =
_______ Special Children's Pricing for Sunday Children's Program
only
MEAL & EVENING PROGRAM RESERVATIONS
____ X $7.00 = ______ Breakfast Friday at the Main
Headquarters
____ X $7.00 = ______ Breakfast Saturday at the
Main Headquarters
____ X $7.00 = ______
Breakfast Sunday at the Main Headquarters
____ X $7.00 = ______ Packed Lunch Friday: #
___Turkey #____Ham #____Veg
____ X $7.00 = ______ Packed Lunch Saturday: #
___Turkey #____Ham #____Veg #____PB
____ X $7.00 = ______
Packed Lunch Sunday: # ___Turkey #____Ham #____Veg #____PB
____ X $0.00 = ______
Thursday Evening Program: Check one:
____ Headquarters Region ____
Shawnee Region
(Eulett Center)
____ X $16.00 = ______ Friday Dinner & Program at
Headquarters Check #_____Meat #______Veg
____ X $9.60 = ______ Friday Dinner & Program
at Headquarters for
Children 12 and under
____ X $4.00 = ______ Friday Dessert & Program
at
Shawnee Lodge
____ X $16.00 = ______ Saturday Dinner & Program at Headquarters only
#_____Meat #______Veg
____ X $9.60 = ______ Sat. Dinner and Event for Children 12 and under
#_____Meat #______Veg
______________________ Total
PLEASE enclose a check for your payment
in full. If you can, we greatly prefer checks over credit card payments, as the latter loses
close to 5% of our income to credit card fees. Thanks so much.
____ Enclosed is a check made out to the
Arc of Appalachia Preserve System, OR
____ Please charge my credit card as follows: YOUR INFORMATION WILL BE
KEPT SECURE
Name of card holder: ________________________________________
Card Number ________________________________ Exp Date _______ 3 digits on back_________
FIELD TRIP CHOICES
Name(s) of other people who registered separately who wish to be with you on the
same field trips:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Please list your top six choices for field trips from highest to lowest. You can identify the field trip simply by its field trip number, such as #12, etc. We will always give you the highest choices that are still available. TO GET THE IDENTIFICATION NUMBERS OF EACH FIELD TRIP, PLEASE REFER to FULL DAY TRIPS ON FRIDAY AND SATURDAY, HALF DAY FIELD TRIPS FOR SUNDAY . If you already know what you want, you can alternatively go to the SHORT LIST OF FIELD TRIPS, which lists all trip numbers without the long descriptions. We will update our websites with information of any field trips that are 100% booked. When we confirm your registration by email, we will tell you which trips you have been assigned, as well as links to directions.
NOTE: WE ARE NOW FILLING UP RAPIDLY FOR THE 2008 EVENT. PLEASE BE SURE TO GIVE US AS MANY FIELD TRIP CHOICES AS YOU CAN BECAUSE SEVERAL OF OUR HIKES ARE DOWN TO 1-3 SPACES LEFT. IF YOU GIVE US JUST ONE OR TWO CHOICES, IT WILL LIKELY REQUIRE US TO MAKE A PHONECALL TO YOU TO CLARIFY YOUR NEEDS, FURTHER DELAYING YOUR PRIORITY IN REGISTRATION. THANK YOU!
WHOLE GROUP
________________________________________________________
FRIDAY/SATURDAY PREFERENCES in order: #____ #____ #____ #____
#____ #____
SUNDAY PREFERENCES: #____ #____ #____ #____ #____
#____
--OR--
NAMES _____________________________________________________________
FRIDAY/SATURDAY PREFERENCES in order: #____
#____ #____ #____ #____ #____
SUNDAY PREFERENCES: #____ #____ #____ #____ #____
#____
NAMES _____________________________________________________________
FRIDAY/SATURDAY PREFERENCES in order: #____
#____ #____ #____ #____ #____
SUNDAY PREFERENCES: #____ #____ #____ #____ #____
#____
NOTES: