2010 Event Registration Form

Section A - Your Trip Selection.

Name of event:

Dates:

Total Payment (CDN Funds) :

Section B - Personal Information, required for all participants.

Salutation:

Mr.   |   Mrs.   |   Ms.

First Name:

Last Name:

Date of Birth:

(mm/dd/yyyy)

Address:

City/Town:

Province:

Postal Code:

Country:

Business Phone (optional):

Residential Phone (optional):

Fax: (optional)

Email Address:

I would prefer to be contacted by:

Email
Regular Mail

Section C - Carpooling

By filling in this section I agree to share my contact information (phone, email) with other participants.

Would you like to carpool?

Yes   |   No

Are you willing to be the driver?

Yes   |   No

Section D - Experience

Is this your first conservation volunteering experience?

Yes   |   No

If no, what organization (s) did you volunteer with in the past?

Are you volunteering alone or with a friend/family member?

Alone   |   Friend/family

Section E - How did you hear about us?

How did you hear about Volunteer for Nature?

VfN website
Ontario Nature website
ON NATURE magazine
The Ark
VfN brochure
Another volunteer
Other  

Section F - Payment Information

Please indicate your preferred method of payment. Cash or cheques payable to Ontario Nature must be received on or before the first day of the event. Please see the Cancellations section for more information.

Payment Method:

Cheque or money order (payable to Ontario Nature)

Cash (in-person only)

Section G - Optional Information

We try to accommodate people of all skill levels and abilities on Volunteer for Nature events. Please advise us of any special needs you may have (e.g. dietary preferences or restrictions, or physical or emotional needs) so our staff and volunteer leaders can maximize your enjoyment of the expedition.

Please let us know if there is anything in particular that you would like to do or skill you would like to learn during your Volunteer for Nature experience. We will make every effort to accommodate your request, though it may not always be possible.

Hiking/walking tours
Flora/fauna identification
Natural history presentation
Team building
Leadership training

I do not want my picture taken.

Are you a student?
(If you are applying for a student discount, please fax or email in proof of valid student card.)

Yes   |   No

Are you an Ontario Nature member?

Yes   |   No

Ontario Nature Membership #:

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