Register here for school programs with Audubon Naturalist Society

* 1. Name of school:

* 2. Full address of school:

* 3. Your contact information:

* 4. I am registering for a:

* 5. Name of program you wish to register for:

* 6. Grade level:

* 7. Total number of classes:

* 8. Total number of students:

* 9. Total number of adults (teachers + chaperones):

* 10. Please let us know if any of your students have special needs.

* 11. Please let us know if you have any special topics you wish to be emphasized for the program.

* 12. To assist with scheduling, please indicate your top four choices for scheduling your program date:

* 13. What is the earliest time we can begin teaching the program?

* 14. What is the latest time we can end teaching the program?

* 15. If you are scheduling a sanctuary field trip, how will you arrive?

* 16. By registering for an Audubon Naturalist Society School Program, I am consenting to the following statement of risk and acknowledgement of liability: I know and understand that there may be risks and dangers involved in the school program, and that ANS does not carry accidental injury insurance on participants. I waive and release ANS and its employees from all liability for any personal injuries, illness, loss or property damage. By registering for a program with the Audubon Naturalist Society you also agree to allow us to take and use photos of the program for informational and promotional purposes, i.e. flyers, ads, website. We will not identify any individual by name. If you wish to deny access to photography, please contact