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Revised 04/08/10 |
MBC Spring Foray Registration Form – May 22 – 25, 2009 Registration deadline: MAY 8th See Arisaema or the information packet that was provided to your group for making room reservations at The Kellogg Center, East Lansing, Michigan. You are responsible for making your own reservations. Please identify yourself as a Michigan Botanical Club Spring Foray participant to receive a special discounted rate of $79.00 per night. Phone: (517) 432-4000; Reservation Line: (800) 875-5090; www.kelloggcenter.com Registration form + check must be received by MAY 8th, 2009. Check payable to MBC-RCC.
Mail to:
Steve Davis Phone:
(517.333.4394) Adults Registering (First and Last Name) Children Registering (First and Last Name) Ages #1_______________________________________ A_________________________________
#2_______________________________________ B_________________________________
#3_______________________________________ C_________________________________ Address _______________________________________________________________________ City __________________________________ State __________ Zip ____________________ Phone _________________________________ Email__________________________________ MBC Chapter membership ____ HVC ____ RCC ____ SEC ____ SWC ____ WPC ____ State ____Special___ I am a full scholarship sponsored student from the above chapter _________ **If you are a student without a chapter, please contact Megan Daniels at 517.290.8478 or danielsmeganel@gmail.com for information on the chapter closest to you and we can help you attend the foray
Foray Fees Number Fees Subtotal Registration fee NON-MEMBER Registration $23 Family $21 Individual _______x $23/21 $_______ *This registration fee entitles you a one year membership in the Red Cedar Chapter. As part of your membership, you will receive our statewide newsletter, The Arisaema, our peer-reviewed journal The Michigan Botanist, and email updates of fun field trips and upcoming speakers. Adults _______x $15.00 $_______ (Registration fee waived for students and children under 16.) Meals Adult meals package for the entire weekend _______x $119.00 $_______ Child (4-12) meals package for weekend _______x $78.23 $_______ (Children 3 and under are free) Meals includes 2 continental breakfasts (coffee, tea, juice, yogurt, cereals, oatmeal, pastries), 2 box lunches (vegetarian & meat choices) and 2 plate dinners. Select your choice for the evening plate dinners (meat or vegetarian, one per night): Saturday: _______ pecan-crusted chicken _______ vegetarian Sunday: _______ grilled pork loin chop _______ vegetarian TOTAL AMOUNT ENCLOSED (taxes and gratuities are included in fees) $_______ Names of person(s) requesting vegetarian lunches: _______________________________________________ Health and Safety Declaration which each person 18 and over must sign and date: “I assume all responsibility for my health and safety while on the MBC 2008 Spring Foray.” (Parents are responsible for children under 18.) Signature (1) ___________________________________________________Date_______________ Signature (2) ___________________________________________________Date_______________ Signature (3) ___________________________________________________Date_______________
Field Trip Registration Preselecting your preferred field trips and workshops is part of foray registration. For each day of participation, please indicate each person’s 1st, 2nd and 3rd choices. Please number the columns to correspond with the participant’s number on the upper part of this form. Field trip assignments are first come, first served. Your personal field trip schedule will be waiting for you when you check in.
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