Web Registration Form
NOTE:
We do not accept credit card payments and therefore
we must receive your payment in the mail within five days.
Submitting the following form will hold your reservation for five days.
If we receive your payment within five days we will confirm your reservation by e-mail followed by a letter in the mail.
Register early to hold your spot(s).
Thankyou!

Class Registration Form

Name:

Address:

City: State: Zip:

Primary Phone: Secondary Phone:

E-mail Address:

Program:

Number of people:

Total program fees $:

Please remember to send your check or money order!

Thankyou!!!


Other Information

Have you taken courses through Paul Rezendes' Programs?Yes No

Have you taken courses through Walnut Hill Tracking & Nature Center?Yes No

Do you wish to be on our (paper) mailing list?Yes No

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