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Register for the Great Backyard Birdcount under the following
First & Last Name
*
First Name
Last Name
Email
*
Contact email
Verify Email
*
Date
*
(mm/dd/yyyy)
People in your party
*
How many people are you registering for the Great Backyard Bird Count? Please note you may only register up to 6 people per form; one group of Four (4) + two (2) extra individuals
select one
1
2
3
4
5
6
Number of children ages 3 to 12 registered
*
Please let us know how many children ages 3 to 12 you are registerig
Are you a Fern Hollow Member?
*
Yes, I am member
No, I'm not a member
Members Fee
*
Quantity
$21
-
Group of 4 People - Member Fee
0
1
1
$8
-
Individual - Member Fee
0
1
2
2
Public Fee
*
Quantity
$31
-
Group of 4 people - Public Fee
0
1
1
$11
-
Individual - Public Fee
0
1
2
2
Would you like to make a donation?
$
Participant(s) full name(s)
*
Please enter first and last name(s) for all participants being registered; separated by colons. Example: John Smith, Abby Smith, Jack Smith