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Co-existing with Coyotes - Dec 15, 2022

2022 REGISTRATION FORM

***Please provide us an email address that you routinely check - it is what we will use for program communication.***

Thank You!

Register for Co-existing with Coyotes - Dec 15, 2022 under the following

First & Last Name

First Name

Last Name

Contact email

Verify Email

Date

(mm/dd/yyyy)

Are you a Fern Hollow Member?

Yes, I am member

No, I'm not a member

Co-existing with Coyotes - Dec 15, 2022 - Members Fee - per person *	Quantity
$5 - Members

Co-existing with Coyotes - Dec 15, 2022 - Public Fee - per person *	Quantity
$10 - Public

Participant(s) full name(s)

Please enter first and last name(s) for all participants being registered; including age(s) for people under 21; separated by commas. Example: Tom Smith, Ann Smith, Jim Smith (8), Beth Smith (6)

Would you like to make an additional donation?

$5 - Thank you!

$10 - Thank you!

$20 - Thank you!

Add 3% to my total amount to help cover the payment processing fees