HERPETOLOGY CAMP REGISTRATION FORM

Session I: Thursday and Friday, June 26th-27th
9:00 a.m.–4:00 p.m.
Session II: Monday and Tuesday, June 30th-July 1st
9:00 a.m.–4:00 p.m.

Herpetology is the study of reptiles and amphibians. BRMC invites your child to spend two days hiking and handling, searching, and observing salamanders, frogs, lizards, snakes, and turtles on our preserve. As we discover more about these unique creatures, your child will add to his or her understanding of natural systems. Ages 7-12. Each session will be limited to 15 participants. Fees are $100.00 for BRMC members and $125.00 for nonmembers.


Name of parent or guardian	__________________________________

Name and age of participant	__________________________________

Address	__________________________________

City/State/ZIP           __________________________________

Phone     _________________	E-mail     ___________________________

Are you a BRMC member?     ____________

No. of people registering     ________	Fee enclosed     _____________

Which Session are you registering for?     ___________________________

How did you hear about us?     ___________________________

Please call us at (703) 753-2631 for details.

Print this page and send with your check made payable to:
Bull Run Mountains Conservancy, Inc.
Box 210
Broad Run, Virginia 20137
or bring by the BRMC house at 17405 Beverley Mill Drive, Broad Run, Virginia 20137


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