Wildlife Handling Techniques Registration Form

Wildlife Handling and Chemical Immobilization

Registration Form:

(Note: Just print this form out 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________________________________________

(Lunch is included)

YOUR INFORMATION

1. Are there any special topics you would like to discuss?

2. What are your needs and expectations for the course?

3. What species would you like addressed?

4. What capture Situations would you like to discuss?

(PLEASE MAKE CHECKS PAYABLE TO CALIFORNIA WOLF CENTER)