Wildlife Handling and Chemical Immobilization

Registration Form:

(Note: Print this form and return with payment)

Name:_____________________________________________
Agency:_______________________________ Position________________________________
Address:______________________________________________________________________
City:_______________________________ State:_____________ Zip Code: ______________
Phone:________________ Fax:_____________________ E-mail:______________________
Mastercard/Visa (Circle one) Card No._______________________________________
Expiration Date __/__/___ Signature________________________________________
(Breakfast and lunch are included)
YOUR INFORMATION
1. What capture situations and immobilizing drugs would you like to discuss?
2. What species would you like covered?
3. What are your needs and expectations for the course?
4. Do you have any special dietary restrictions?

(PLEASE MAKE CHECKS PAYABLE TO CALIFORNIA WOLF CENTER)

Mail To: California Wolf Center
PO Box 1389
Julian, CA 92036
Attn: (Wildlife Handling...)