WILD! Registration Form

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

Event
	Creepy Crawlies - members - $15
	Creepy Crawlies - nonmembers - $20
	Small Wonders - members - $20
	Small Wonders - nonmembers - $25
	Night Hike - members - $10
	Night Hike - nonmembers - $15
	Letterbox Lore - members - $15
	Letterbox Lore - nonmembers - $20
	Geocache Genius - members - $20
	Geocache Genius - nonmembers - $25
	Nature Notes - members - $15
	Nature Notes - nonmembers - $20
	Mountain Music - members - $20
	Mountain Music - 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