WILD EARTH RENDEZVOUS 2007
June 1-7


REGISTRATION
Name:

Street
Address,
City, Province,
Postal Code:

Phone #:
(10 digits only)

Email Address:

Emergency
Contact and
Phone Number:










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PLEASE NOTE:  If you are coming with a group, we ask that each person register separately.  If you are bringing children, please tell us.








This year's Wild Earth gathering will be taking place from

June 1th until Sunday, June 7th. Which days
do you expect to be in attendance for?


Thursday
Friday
Saturday
Sunday

Why don't you just tell us when you'll be coming out:


Please describe any medical conditions or special needs that
you have that we should know about:


As organizers, we’d be interested to hear what you’re most
interested in learning at this event, or why you’re coming out:


Anything else you think we should know, or would like to tell us?


Volunteering -

Would you be interested in volunteering at Wild Earth, either
before, during or after the event in areas such as: postering
and promoting, assisting in the communal kitchen, food and
supply donations, driving a shuttle van, security, set up and/
or take down and clean-up?

If yes, please check all that apply. If no, please leave blank.

Postering and promoting
Assisting in the communal kitchen
                   

Childcare
Food and supply donations
          If yes, please describe:
         

Driving a shuttle van
Security
Set up
Take down and clean-up
Other
          Describe:
         









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