Registration Form - "Birding by Ear" Workshop With Kathy Dean
First Name *
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Last Name *
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Email *
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Phone *
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Address (Street) *
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Address (City/Town) *
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Address (State) *
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Address Zip *
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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.
Photo release note
The Vermont Wilderness School occasionally uses photos from our programs in our promotional materials (such as newsletters, flyers, and on our website). If you do not want photos of you to be used, simply send an email to office@vermontwildernessschool.org.
Payment
Which workshop do you wish to attend?
$ Program Fee
Sliding Scale: $15 – $25 per workshop. If you are requesting scholarship, leave blank.
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$ My Donation to the Scholarship Fund
The Great Blue Heron Fund provides scholarship funds to this and other VWS programs. Your donation is tax deductible.
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$ Total I Owe: *
Program Fee +PLUS+ Donation
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Pay now to complete your registration. Your spot is secure once we receive your payment.
These workshops are each limited to 10 participants.
I will be paying today via:
Questions or comments
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Scholarship Application
The Vermont Wilderness School's Great Blue Heron Fund provides tuition reductions for this and other VWS programs. The average scholarship rate we offer is 20-30% off the low end of the sliding scale. Scholarship requests are due 3 weeks before the first day of a program, but the earlier you make your request the better. We will reply within 1 week of receiving your request.
$ Amount of scholarship funds I am requesting:
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Please share any information you choose about your scholarship request.
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