KNOW YOUR BIRD SEMINAR
REGISTRATION FORM

Please fill out a separate registration form for each registrant. If you plan to bring a bird to one of the Ken Globus workshops, only register one person in your party as bringing the bird; the rest should register as observers.

	Full Name: _________________________________________________________
	Address (street): ____________________________________________________
	Address (city, state, zipcode): _________________________________________
	Phone Number(s): ____________________________________________________
	E-mail Address: ______________________________________________________
	Check each event you plan to attend; enter the fees for the checked items.

	X	Event	Enter Fee
		Seminar, nonmember, no workshops ($55)
		Seminar (AM), nonmember, attending Sat. workshop ($35)
		Seminar, nonmember, attending Sun. workshop ($45)
		Seminar, WSCBC member, no workshops ($45)
		Seminar (AM), WSCBC member, attending Sat. workshop ($25)
		Seminar, WSCBC member, attending Sun. workshop ($35)
		Sat. Ken Globus workshop with larger bird ($100)
		Sat. Ken Globus workshop with budgie/cockatiel ($75)
		Sat. Ken Globus workshop observer only ($50)
		Sun. Ken Globus workshop with larger bird ($100)
		Sun. Ken Globus workshop with budgie/cockatiel ($75)
		Sun. Ken Globus workshop observer only ($50)
		Seminar Proceedings Book ($5 - will be $10 at Seminar)
	TOTAL:

Please mail a check of money order payable to WSCBC to: WSCBC PMB 126 1921 W. Wilson St., Ste. A Batavia, IL 60510-7610 Questions: Lynn Smith, (815) 264-3664, president@wscbc.org