Registration for the Wildflower Pilgrimage
April 15-17, 2011
Arc of Appalachia Preserve System

You can include up to four people on one registration form if you are paying with one check. If you are bringing a large group, or have questions, give us a call at 937-402-6918 and we will be happy to facilitate your reservation over the phone.

STEP ONE--Fill out Basic Information of Primary Registrant who will be writing the check

Primary Name of Registrant
Primary E-mail (necessary for confirmation)
Total number of people registering on this form
Primary Street Address
City          State               Zip
Day Phone          Evening Phone
Third Phone
Associated Organization (if any)
Position in Organization (if any)
Associated Website (if any)

STEP TWO--Select field trips and meals. Use the fast registration for the whole weekend, or scroll down to pick and choose.

FAST REGISTRATION for the entire weekend, including all meals and same trips:

Whole weekend ($114.00 each) for people.

-Or-

Special price for couples $214.00.

Saturday's Lunch choice of - Vegetarian     Meat

Sunday's Lunch choice of - Vegetarian     Meat

Saturday's Preferred Trips, (list top three)

Sundays's Preferred Trips, (list top three)

Will you attend the talk on Friday eve? Check for yes, leave blank if no.

At what time would you like to attend the Saturday evening program?
     Program at 5:30, Dinner at 6:30   Dinner at 6:30, Program at 7:30

Will you attend the Sunday AM Bird Hike? Check for yes, leave blank if no.

Names of others in your party:

Skip Down to Registration Submission

Feel free to make any notes in the box provided at the bottom of this page.



A LA CARTE REGISTRATION to pick just what you want (purchase your Arc wildflower guides separately upon arrival):

Person 1. Name

Would you like to attend the Friday evening program on the Arc of Appalachia Preserve System?
       Check if yes, leave blank for no. There is no charge for this program.

Saturday Guided Hike $35.00  Check if yes, leave blank for no.
Saturday's Preferred Trips (list top three):

Sunday Guided Hike $35.00  Check if yes, leave blank for no.
Sunday's Preferred Trips, (list top three)

Would you like the Sunday AM Bird Hike? Check for YES, leave blank if no. There is no charge for this hike.

Put a check mark on all the meals you wish to order, blank means no:

Saturday Breakfast $8.50
Sunday Breakfast $8.50
Saturday Lunch $8.50   Please choose: Veggie    Meat
Sunday Lunch $8.50     Please choose: Veggie    Meat
Saturday Dinner & Evening Program $15.00     
Please choose: Program at 5:30, Dinner at 6:30    Dinner at 6:30, Program at 7:30

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Person 2. Name

Would you like to attend the Friday evening program on the Arc of Appalachia Preserve System?
       Check if yes, leave blank for no. There is no charge for this program.

Saturday Guided Hike $35.00  Check if yes, leave blank for no.
Saturday's Preferred Trips (list top three):

Sunday Guided Hike $35.00  Check if yes, leave blank for no.
Sunday's Preferred Trips, (list top three)

Would you like the Sunday AM Bird Hike? Check for YES, leave blank if no. There is no charge for this hike.

Put a check mark on all the meals you wish to order, blank means no:

Saturday Breakfast $8.50
Sunday Breakfast $8.50
Saturday Lunch $8.50  Please choose: Veggie    Meat
Sunday Lunch $8.50     Please choose: Veggie    Meat
Saturday Dinner & Evening Program $15.00     
Please choose: Program at 5:30, Dinner at 6:30    Dinner at 6:30, Program at 7:30

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Person 3. Name

Would you like to attend the Friday evening program on the Arc of Appalachia Preserve System?
       Check if yes, leave blank for no. There is no charge for this program.

Saturday Guided Hike $35.00  Check if yes, leave blank for no.
Saturday's Preferred Trips (list top three):

Sunday Guided Hike $35.00  Check if yes, leave blank for no.
Sunday's Preferred Trips, (list top three)

Would you like the Sunday AM Bird Hike? Check for YES, leave blank if no. There is no charge for this hike.

Put a check mark on all the meals you wish to order, blank means no:

Saturday Breakfast $8.50
Sunday Breakfast $8.50
Saturday Lunch $8.50  Please choose: Veggie    Meat
Sunday Lunch $8.50     Please choose: Veggie    Meat
Saturday Dinner & Evening Program $15.00     
Please choose: Program at 5:30, Dinner at 6:30     Dinner at 6:30, Program at 7:30



Person 4. Name

Would you like to attend the Friday evening program on the Arc of Appalachia Preserve System?
       Check if yes, leave blank for no. There is no charge for this program.

Saturday Guided Hike $35.00  Check if yes, leave blank for no.
Saturday's Preferred Trips (list top three):

Sunday Guided Hike $35.00  Check if yes, leave blank for no.
Sunday's Preferred Trips, (list top three)

Would you like the Sunday AM Bird Hike? Check for YES, leave blank if no. There is no charge for this hike.

Put a check mark on all the meals you wish to order, blank means no:

Saturday Breakfast $8.50
Sunday Breakfast $8.50
Saturday Lunch $8.50  Please choose: Veggie    Meat
Sunday Lunch $8.50     Please choose: Veggie    Meat
Saturday Dinner & Evening Program $15.00     
Please choose: Program at 5:30, Dinner at 6:30     Dinner at 6:30, Program at 7:30

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Please add any notes:

STEP THREE--Submit Registration. When you are finished reading this page, click on the button below and we will register you, We will send you back an email confirmation within 24-48 hours.

STEP FOUR--Send payment by mail. Your total cost is listed at the bottom of this page, and will also be included in your email confirmation. When you submit this registration we will give you a link for a mail-in payment form to be included with your payment. Please run off this form send it to us in the mail as soon as possible, with your check enclosed. Checks are greatly preferred to credit card payments as we have not included credit card overhead charges (usually around 5%) in our fee structures in order to keep these programs as affordable as possible.

QUESTIONS? Call 937-402-6918 or write services@arcofappalachia.org.

Thank you so much for registering! So long as the trip list does not list the trip as full, we are still accepting registrations and your registration is asured. If there are any availability issues, we will contact you immediately by phone or email.

THANKS AGAIN! WE ARE GREATLY LOOKING FORWARD TO SHARING SPRING WITH YOU. Please click to submit.

Your total cost: $