Attendee

Name ________________________________________________________________

Address _______________________________________________________________

City, State/Province, Zip _________________________________________________

Phone ________________________________________________________________

Email _________________________________________________________________

Field trip carpooling

Are you willing to drive? (Drivers with three passengers reimbursed at current federal mileage rate)

YES   NO   MAYBE (Explain: _____________________________________________)

If yes, do you have a high clearance/AWD/4WD vehicle?  YES     NO

Release Form

Pertaining to the activities organized by the Washington Ornithological Society (WOS) for June 5, 6, 7, 8, and 9, 2008, I, __________________________________________________________, as a member of WOS, understand the dangers involved in the activities in which I plan to participate. I will be fully responsible for any personal injuries and my personal well-being and will hold harmless Whitman College, the Washington Ornithological Society, and its Board of Directors, agents, and staff.

Signed: __________________________________________________

Date: ___________________________________________________

Dorm room rates:

$25 per person per day for shared rooms;

$33.35 per person per day for unshared rooms

Lodging Subtotal: