CLICK HERE FOR A PRINTABLE COPY OF THE REGISTRATION FORM:
REGISTRATION FORM
Please copy and return completed form to us with payment by September 5, 2011.
(make check payable to CCNS Employee Association)
Send to : Cape Cod National Seashore Employee Association, 99 Marconi Site Road,
Wellfleet, MA 02667
attn: Ranger Molly Williams
Complete the following information:
First and Last Name ___________________________________________________________
Address: ____________________________________________________________________
Email: (required for confirmation) ________________________________________________
Phone Number: _______________________________________________________________
Additional Person(s):
1.____________________________________________________________________________
2.____________________________________________________________________________
REGISTRATION FEE $10/ADULT
# of adults attending x $10=________
Former employees/associates:
Where you worked in the park (your affiliation with the park), your position,
dates of tenure:
_____________________________________________________________________________
Current employees/associates:
Where you work in the park and your position:
_____________________________________________________________________________
PLEASE INDICATE WHICH EVENTS YOU WILL BE ATTENDING
Friday, September 16, 2011
WELCOME DINNER 6:30PM - 9:30PM
# of people attending x $32 = ________
Saturday, September 17, 2011
(cost of Saturday presentations/transportation covered by registration fee)
SCIENCE LABS TOUR 9AM - 11:30AM MARSH RESTORATION 1:30PM - 3:30PM
#of people attending ____________ #of people attending ____________
PARK BUS TOUR 8:30AM - 12PM FIRE/VEGETATION MANAGEMENT 1:30PM - 3:30PM
#of people attending ____________ #of people attending ____________
IS BIGGER REALLY BETTER 9AM - 11:30AM CLIMATE CHANGE 1:30PM - 3:30PM
#of people attending ____________ #of people attending ____________
REUNION CLAMBAKE 4:30PM - 9:30PM
# of people attending x $40 =__________
Sunday, September 18, 2011
REUNION GOLF 8AM - NOON
#of people attending x $30 = ______
(Limited to first 24 people)
TOTAL AMOUNT ENCLOSED ________