Registration

Leopold Education Project Conference Registration

	#People	Event	Cost	Total
		Conference Registration	$	$
		Friday Only	$	$
		Saturday Only	$	$
		Speaker Discount (check only if you have been accepted as a session presenter)	$	$
		Pre-conference Workshop: Leopold Bench-Building Workshop (June 17 - morning, includes lunch)	$	$
		Pre-conference Workshop: Youth Activities for Community Events (June 17- afternoon, includes lunch)	$	$
		Pre-conference Workshop: Non-Formal Curriculum (June 17 - all day, includes lunch)	$	$
		Land Ethic Leaders ***PROGRAM FULL****	$	$
Event Total				$

Evening events are included in your registration, but please tell us how many will attend:
Friday Banquet Saturday Boat Trip

Additional comments about your registration (include any special dietary needs):

Become a member of the Aldo Leopold Foundation and enjoy all of our membership benefits for a full year!

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If you are joining or renewing your membership, please complete the following:

Membership Type: New Renewal

I would like to give the following amount for my membership:
$25
(student) $35(individual) $50(family) $100 $500 $
(Other)

Total charges: $

Name of Chapter: Chapter Number:

Credit Card Information:

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Billing contact information (if different from above):

If you have questions about your registration, please contact Jeannine Richards at (608) 355-0279, ex. 25, or jeannine@aldoleopold.org.