Registration Form - Homeopathy with Wildlife Workshop

Garden Grove, CA -- February 24, 2007

Please print out and complete this form and mail by January 15. Make your check or money order payable to "WildAgain" and send to Therese Bush at P. O. Box 304, Grizzly Flats, CA 95636-0304. Please register early, as workshop size is limited to the first 35 registrants.

The registration cost for the one-day workshop, including the 45-page workbook, for rehabilitators, rehabilitation volunteers, vet techs and students is $65. This includes a free hot breakfast at the hotel for all registrants, as well as free tea, coffee and fruit during the day.

Name(s)______________________________________________________

Address_______________________________________________________

City, State, Zip________________________________________________

Phone_____________________Email_______________________________

Circle your registration category below:

 $65    Rehabber (or affiliated with a rehabber)

 $65    Vet tech, or student (vet/vet tech)

$100    Veterinarian or non-rehabber

$_____  Total Registration fee enclosed (check or money order only)

The workshop runs from 8:30 to 5:30 with sign-in at 8am. An attendance certificate will be provided for continuing education credit. A confirmation letter with maps and hotel information for the Garden Grove Hampton Inn will be sent when paid registrations are received. Ground transportation options from nearby airports are available by calling the hotel at 714-703-8800. Paid registrations are fully refundable if cancelled prior to January 25; after which they are non-refundable.

If you have other questions about the workshop or registration, please email WildAgain, or feel free to call WildAgain at 303-670-3309 (Colorado), or call Therese Bush in California at 530-642-9459.