Wildlife Tracking in Winter
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This program is currently full. Do you wish to add yourself to the waitlist for: *
Note: payment is not required unless you are offered a spot.
Required
First Name *
Is there something different than your first name you'd like us to call you? A nickname or use-name for example
Last Name *
Email *
Almost all communications will be sent via email. Please put the best email address to reach you here.
Phone (cell preferred) *
Address (Street) *
Address (City/Town) *
Address (State) *
Address Zip *
Health issues & allergies *
If you have any significant health issues or allergies please briefly mention them in the "other" option. The instructor will follow up with you if she has questions.
What is your birth year & month? *
For example, if you were born on January third 1900, you'd put "1/1900".
Your gender? *
(Optional) Preferred pronouns?
(Optional) Racial/ethnic identity
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