Woodbourne Forest & Wildlife Preserve

2008 Nature Classes Registration

Child's Name _________________________________________________ Age ___________

Previously attended these nature classes? _______ How many times?___________________

Address _____________________________________________________________________

Phone ___________________________________

Email ___________________________________

Parent's Name________________________________________________________________

Emergency contact number _________________________

Allergies (including beesting) ? _______________________________________

Please mail or email this form to

Woodbourne Forest & Wildlife Preserve, RD 6, Box 6294, Montrose, PA 18801

jskinner at epix dot net