CLOUD RIDGE NATURALIST`S REGISTRATION FORM NAME(S

 CLOUD RIDGE NATURALIST’S REGISTRATION FORM NAME(S): (Mr./Ms./Mrs./Dr.) (1)_________________________________________________________________ (2)_________________________________________________________________ ADDRESS: Street or P.O. Box_____________________________________________________________________________ City___________________________________State:_________________________ Zip Code_______________ PHONE: (Day)________________(Evening) ___________________ (Emergency Contact)_________________ EMAIL:__________________________________________________ I (WE) WOULD LIKE TO REGISTER FOR THE FOLLOWING CONSERVATION IN FOCUS TRIP(S): •​
(1) Sea of Cortez ​
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(2) Southeast Alaska ​
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(3) Salish Sea/San Juan Islands ​
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(4) In Darwin’s Footsteps ENCLOSED IS MY CHECK, PAYABLE TO CLOUD RIDGE NATURALISTS, IN THE AMOUNT OF: $_________________ PLEASE INDICATE THE TYPE OF PAYMENT BELOW: •​
Deposit ​
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(All deposits are shown in parentheses, payable to Cloud Ridge Naturalists unless otherwise noted. Cloud Ridge cannot accept credit cards for payment at this time.) •​
Payment in Full ​
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(The balance for all Cloud Ridge trips is due, less the deposit, 90 days prior to departure. If you are registering for a trip within 90 days of departure, payment in full is required.) In addition, I would like to make a tax­deductible contribution to Cloud Ridge Naturalists: $________ Cloud Ridge Supporter ($25) $ ________ Cloud Ridge Sponsor ($50 or more) $ ________ Cloud Ridge Publishing’s book projects. Contribution Premium: ​
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None ​
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CRN King Penguin T­shirt/Circle Size: S M L XL ACCOMMODATIONS: Male ( ) Female ( ) Your Age____; ( ) Double ( ) Single Preferred (single supplement required) ( ) 2 Beds ( ) Roommate preferred Name of roommate, if known:__________________________________________________ DIET PREFERENCES: ​
SPECIAL NOTE: ALL CLOUD RIDGE TRIPS ARE NON­SMOKING ( ) Regular Diet ( ) Vegetarian w/fish) ( ) Vegetarian/no fish ( ) No Dairy ( ) Gluten­free ( ) Diabetic FOOD ALLERGIES?: ( ) No ( ) Yes If yes, please specify:_____________________________________________ PASSPORT INFORMATION REQUIRED ONLY FOR INTERNATIONAL TRIPS: TRAVELER 1: Full Name (as it appears on your passport):______________________________________________________________ Passport #_______________________ Expiration Date _______________________ Date of Birth_________________ TRAVELER 2 Full Name (as it appears on your passport): ______________________________________________________________ Passport #_______________________ Expiration Date _______________________ Date of Birth__________________ Mail to: Cloud Ridge Naturalists, 8297 Overland Rd., Ward, CO 80481 USA