2018 Annual Survey at Lake Anna State Park
**PLEASE FILL OUT A SEPARATE FORM FOR EACH ATTENDEE 16 AND OVER**

Friday, May 18 – Business Meeting and Survey Coordination (6:30 pm - 9:00 pm)
Saturday, May 19 – Main Survey (8:00 am - 3:00 pm)
– Night Survey (8:00 pm - 9:30 pm)
Sunday, May 20 – Secondary Survey, VHS Members only (8:00 am to 12:00 pm)
*Participation in all events is not required. Come and go as needed.

The Saturday survey is open to the public. The Sunday survey is for VHS members only.

Become a member: http://www.virginiaherpetologicalsociety.com/vhs-membership/membership.html

A confirmation email will be sent to you within a month of the survey. We will provide details on the meeting location in the confirmation email.

We look forward to seeing you!

First Name *
Your answer
Last Name *
Your answer
County *
Your answer
Email Address *
For survey coordination and updates.
Your answer
Cell Phone Number *
For last minute changes.
Your answer
Emergency Contact Name *
Someone not at the survey, since cell reception might be poor.
Your answer
Emergency Contact Phone Number *
Your answer
Number of Child Attendees *
How many children will you be bringing as guests?
Do you or any of your guests have mobility limitations? *
We often have an "Easy Group" with easier terrain and is closer to bathroom facilities. Would this benefit you?
Are you a VHS member? *
A membership is only required for Sunday's survey.
Which events do you plan to attend? *
Required
Are you interested in leading a survey group?
We are always in need of knowledgeable individuals that assist our survey efforts.
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