WORKSHOP PRE-REGISTRATION

 FORM 

 25 th Anniversary National

                               MAY 28 - 31, 2004

 We request that you pre-register for the following workshops.  These workshops require an additional fee to cover the costs of skilled, certified Sargent Camp Staff.  They also require intensive preparation to be successful and enjoyable.  There will be on-site registration for all workshops; however, participants are accepted on a first-come first-served basis.  Each course has an allowable minimum and maximum number of participants.  If the minimum is not met, the course will be cancelled.  When the maximum number of participants is met, your name will be placed on a waiting list.

 NAME:_____________________________

 ADDRESS:____________________________________ CITY: __________   ST: _____ ZIP:_________

 HOME PHONE: __________________E-MAIL: ______________________________

Title

Time

Min. #

Max. #

Fee

Check to pre-register

Climbing Tower

Saturday 2-5

10

30

tbd

Orienteering

Saturday 1-4

10

30

tbd

Raptor Sunday 1-4 10 30 tbd  

Dangle Quad

Monday 9-12

10

30

tbd

Total for ALL Workshops:  

Please complete this form as soon as possible and return it with payment to Women Outdoors to:  Alice Sherard, 602 South Curtis St., Meriden, CT 06450

If you choose to cancel your plans to participate in any of these workshops, please notify Alice Sherard, (203) 238-7440 or Workshops@Women-Outdoors.org as soon as possible so that another individual can be moved from the waiting list.

Note: If Sargent Camp cancels the workshop due to the weather, your fee will be returned. If you decide not to participate due to the weather, your fee will NOT be returned.