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...) |