Stream School October 9 and 10, 2012

1.

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* 1. Do you plan to attend the 2012 Stream School on October 9 and 10, 2012?

Yes

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* 2. Please answer the following, fill out one questionnaire per attendee from your organization.

First Name

Last Name

Email Address

Phone Number

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* 3. Mailing Address

Street Name & Number

City

State

Zip Code

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* 4. How many attendees will be coming from your organization?

just me

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* 5. Do you need a scholarship to attend? Please note, scholarships will be given first come, first serve, and only for one attendee per organization.

yes

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* 6. Please describe any agency or organization affiliation (if any)

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* 7. Do you have an special considerations we need to consider?

2012 Stream School is taking place October 9 and 10 at the Historic Prallsville Mills, 13 miles north of Trenton, Route 29, Stockton, NJ.

Stream School will take place from 8:45am- 4:00pm both days!

Reminders:
 Dress for the field and bring waders or high waterproof boots if you have them (we will have some extra waders available)

 Bring a bag lunch, snacks, and a water canteen. There will be no food provided.

 If you need local hotel information please contact Danielle Donkersloot:
Danielle.Donkersloot@dep.state.nj.us

 Workshop Fee: $15 per person or $25 for two members per volunteer watershed group

Please make checks payable to: Delaware River Mill Society, PO Box 298 Stockton, New Jersey 08559