One person per form please.  Cheques can be made out for multiple registrants.
(For best results, you may want to fill out this form before printing)  
Please note**  Registration is open only to those 16 years and older.  No pets please.  Thank you for your co-operation.

           
First Name                                                  Last Name                                                                    Date


Address  

     
City                                                                                                   Province 


Postal Code 


Phone Number 


Email Address  (if available)

Package Choices

Early Bird Package for both days Registration Deadline is  April 7, 2017
Early Bird                           $    120          Saturday and Sunday, May 26 & 27    

 Day One  only                 $    90                 Saturday, May 26/17   

 Day Two  only                 $    50                 Sunday, May 27/17   

I WISH TO ATTEND THE 6 A.M. BIRDING AT HURKETT COVE  ON SATURDAY, MAY 26
  
   

         Method of Payment

Cheque  (payable to Dorion's Canyon Country Birding Festival)