Here is the brochure which includes a registration form as found on the YMCA Camp Eberhart Website. Below is a generic registration form in case you are unable to open the brochure file(which is an adobe pdf file)
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Teaching with Nature:
A Conference for Teachers
Monday, October 19, 2009
Curing Nature Deficit Disorder
8:30 am to 3:30 pm
REGISTRATION
Use This form if you’re unable to open the conference brochure.
Name:________________________________________
School Name:________________________________________
School District::____________________________
Mailing Address::________________________________________
City:______________________ State: ____ Zip:_______
Contact Phone #:__________________________
Fax::________________________
E-Mail Address::________________________________________
Certified for subject/grade level(s)::________________________________________
Please Indicate your preferences for workshops. We will make our best effort to meet your request.
The availability of popular workshops will be based on requests as they are received. (First received, first choice.)
1st Choice:________________________________________
2nd Choice:________________________________________
3rd Choice:________________________________________
4th Choice:________________________________________
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EARLY BIRD REGISTRATION - $15
Payment MUST be received by October 1,2009, to receive discount.
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REGULAR REGISTRATION – $25
(must be received by Oct. 16, subject to first 300 registrants)
FAX or EMAIL COMPLETED REGISTRATION FORM TO (269) 244-5000 or brad@campeberhart.com
PAYMENT
by Credit Card (Circle One):
Card Number::________________________________________
Expires:______
Signature (required):________________________________________
Security Code:______
by Check
If you are making payment by check or money order, MAKE PAYABLE TO: YMCA Camp Eberhart
SEND PAYMENTS and along with this completed registration form to:
Brad Codgell, Conference Coordinator
YMCA CAMP EBERHART• 10481 CAMP EBERHART ROAD, THREE RIVERS, MICHIGAN 49093
Limited overnight accommodations available. Contact Brad at Camp.
VISIT http://teachingwithnature.wordpress.com/for up-to-date information on sessions.
