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Participant Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Are you a PVAS Member?
*
Yes
No
Quantity
$0
-
Yes, I would like to register for this free event
0
1
2
3
4
4
Team Information (if applicable)
Team Name
Teammate 1
First Name
Last Name
Teammate 2
First Name
Last Name
Teammate 3
First Name
Last Name
Participation Information
I (we) would like to participate by:
*
Counting birds at my house located within the circle (please provide address below)
Counting birds within an assigned section of the circle (please select which section would would like below)
Address where I (we) will be counting:
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Section I (we) would like to count (refer to map):
*
*Please note your final section assignment will be emailed to you
Section A
Section B
Section C
Section D
Section E
Section F
Section G
Section H
Section I
I would like to make a voluntary donation to PVAS. A portion of donations collected with go to the National Audubon Society Christmas Bird Count project.
Voluntary Donation
$
Add 3% to my total amount to help cover my voluntary donation processing fees