ReDiscover Virginia Registration Form

To register for ReDiscover Virginia events online, please complete and submit the form below.

Event
	Attending Saturday, July 31 - $60
	Attending Sunday, August 1 - $60
	Attending Saturday and Sunday - $100

Name*

School/Organization*
School District*
Summer Address*

City, State, Zip*
Phone
E-mail Address*

The Wintergreen Nature Foundation
R.R 1, Box 770
Roseland, VA 22967