2011 Summer Course Registration
Forming Living Ideas & the Significnace of Experience-based Learning
A professional development program for science teachers
July 10 to July 16

Please mail or fax this registration form by June 1

Name _________________________________________________________

Address _______________________________________________________

City ______________________ State _________________ Zip __________

Home phone ______________________ Work phone ___________________

Fax ________________________ E-mail _____________________________

Course Fee:  $560 (less $30 if paid by May 1) 
Please pay in full by check (payable to The Nature Institute).

Tuition assistance is available. Please contact us.

____ I wish to stay in a private home and need housing for ____ nights.   
____ I would like more information about housing options.
____ I will arrange my own lodging.
____ I expect to have my own transportation.
____ I expect to need transportation.

Please let us know if you have any special needs.

Cancellation Policy: If you cancel your registration more than two weeks prior to the beginning of the course you will be refunded the course fee minus $50.  If you cancel less than two weeks before the course begins you will receive a refund of the course fee minus $100.