October 6-9, 2000
Northeast Seminar & Wildlife Rehabilitators Conference
Registration Form
Use a separate form per registrant for seminar registration only!
October 6-9, 2000
Northeast Seminar & Wildlife Rehabilitators Conference
Registration Form
Use a separate form per registrant for seminar registration only!
| PLEASE PRINT LEGIBLY!
Name: _____________________________________________ Mailing Address: ____________________________________ ___________________________________________________ Phone #: ___________________________________________ Do you wish to donate anything to raffle/auction? If so, please list item(s) ____________________________ |
REGISTRATION FEES
CHECK APPROPRIATE CATEGORY [ ] FULL $70 [ ] 2 DAY $50 [ ] 1 DAY $35 [ ] STUDENT $40 (For 2 or more days, with student ID) [ ] RVS TRAINING ONLY $35 Late Fee - after August 15, 2000 add $10.00 SEMINAR REGISTRATION FEE ENCLOSED $ ________ |
What days will you be attending the seminar?
[ ] FRI. [ ]
SAT. [ ] SUN.
[ ] MON.
Will you be staying at The Hudson Resort?
[ ] YES [ ]
NO Are you
a vegetarian? [ ] YES [ ]
NO
SPECIALTY SESSION & LAB SIGN-UPS MUST BE PREREGISTERED TO ATTEND!
SPACE IS LIMITED - REGISTER EARLY!!!
Check the boxes for the sessions that you want to
attend. Please note that some include additional fees to
attend.
Workshop fees will be collected at the seminar if
you have been accepted into the class.
[ ] Basic Skills Workshop (additional fee
$5) [ ] Fri. 2 - 6pm OR [ ] Mon. 8am
- 12 noon
[ ] Photography for Rehabilitators
[ ] Sat. 10am - 12 noon OR [ ] Sun. 10am
- 12 noon
[ ] Basic & Advanced Treatment of Turtles
- Sat. 1-4pm (additional fee $15)
[ ] Necropsy Workshop - Sat. 8 - 10am (additional
fee $5)
[ ] Falconry Workshop - Sun. 8:30 - 10am
(additional
fee $5)
[ ] RVS - Sun. 1-5pm & Mon. 8am - 12
noon ($35 fee if not attending rest of conference) (must attend both
sessions)
[ ] Oiled Wildlife Emergency Response - Sun.
between
the hours of 8am and 9pm (additional fee $40)
[ ] Advanced Oil Spill Supervisor Training
- Mon. 8am - 12 noon
[ ] Rehabilitation of White Tail Deer - Friday
1 pm - 3 pm (additional fee $5)
FIELD TRIP
[ ] Hawk Migration - Mon. 9am - 12 noon
Send Conference Registration Form completed with check
or money order (in US dollars) made out to:
NYSWRC - 2000 c/o Amy Freiman PO Box 62 Newcomb,
NY 12852
No refunds after Sept. 15, 2000. All requests for refunds
must be submitted in writing.
NORTHEAST SEMINAR & WILDLIFE REHABILITATORS CONFERENCE OCTOBER
6-9, 2000
THE HUDSON VALLEY RESORT
& SPA ROOM RESERVATION REQUEST FORM
THIS FORM MUST BE MAILED OR FAXED TO THE HUDSON
VALLEY RESORT & SPA
[ ]ð Single Occupancy
- Per Person, Per Night
[ ] Double Occupancy - Per Person, Per Night
$150.00 Subject to Applicable Tax
$100.00 Subject to Applicable Tax
[ ] Triple Occupancy - Per Person, Per Night
[ ] Quad Occupancy - Per Person, Per Night
$85.00 Subject to Applicable Tax
$75.00 Subject to Applicable Tax
Rates Include: Overnight accommodations, three (3)
meals daily starting with lunch on day of arrival through
breakfast on day of departure, and all applicable
service charges
PLEASE TYPE OR PRINT LEGIBLY - USE ONE SHEET FOR ALL OCCUPANTS
| 1st Occupant
Name: _____________________________________________ Address: ___________________________________________ ____________________________________________ Phone: (Home) _______________ (Work) _________________ Arrival Date: _____________ Departure Date: ______________ Deposit Method of Payment - Occupant 1
|
2nd Occupant
Name: _____________________________________________ Address: ___________________________________________ ____________________________________________ Phone: (Home) _______________ (Work) _________________ Arrival Date: _____________ Departure Date: ______________ Deposit Method of Payment - Occupant 2
|
| 3rd Occupant
Name: _____________________________________________ Address: ___________________________________________ ____________________________________________ Phone: (Home) _______________ (Work) _________________ Arrival Date: _____________ Departure Date: ______________ Deposit Method of Payment - Occupant 3
|
4th Occupant
Name: _____________________________________________ Address: ___________________________________________ ____________________________________________ Phone: (Home) _______________ (Work) _________________ Arrival Date: _____________ Departure Date: ______________ Deposit Method of Payment - Occupant 4
|
Deposit: A non-refundable deposit of $50.00 per person is required with this form by September 15, 2000 to get conference rate. Make checks or money orders ( in US dollars) payable to Hudson Valley Resort & Spa. We also accept American Express, Mastercard, Visa, Diner's Club, and Discover Cards for deposit. Please complete the information requested below:
PLEASE MAIL OF FAX THIS FORM AND PAYMENT TO:
The Hudson Valley Resort &
Spa
400 Granite Rd.
Kerhonkson, NY 12446
Attn: LeAnna Pond, Reservations Manager
Phone: (888) 9HUDSON
Fax: (914) 626-2677