WILD! Registration Form

To register for WILD! events online, please complete and submit the form below.

Event
	WILD! Summer Campout - members - $100
	WILD! Summer Campout - nonmembers - $120
	Journey on the James-member pairs - $70
	Journey on the James-nonmember pairs - $80
	Night Hike-members - $10
	Night Hike - nonmembers - $15
	Birdie Buddies - members - $15
	Birdie Buddies - nonmembers - $20
	Hello Herps - members - $15
	Hello Herps - nonmbers - $20
	Geocaching - members - $15
	Geocaching - nonmembers - $20
	Wings over Wintergree - members - $20
	Wings over Wintergreen - nonmembers - $25
	Herp, Herp Hooray - members - $20
	Herp, Herp Hooray - nonmembers - $25
	Geocache Genius - members - $20
	Geocache Genius - nonmembers - $25

Parent's Name*
Child's Name*		Age*



Address*

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

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