MINNESOTA BIRDING WEEKS REGISTRATION


Photocopy this form as needed, or include the items below on your own paper

in your own format; also see MBWeeks  page for the status of each MBW.



NAME(s)  ______________________________________________________________________


E-MAIL  _______________________________________________________________________

E-MAIL ADDRESS REQUIRED WITH ALL REGISTRATIONS


U.S. mail address  _______________________________________________________________


                                _______________________________________________________________


(U.S. mail address and telephone NOT NEEDED if previously registered for MBWs

and contact information has not changed.)


Telephone(s)  __________________________________________ (home)


                     __________________________________________ (cell)



*          *          *


MBWEEK  _______________________________________________________________________


                                                                 $ ______  MBW deposit  x  ____  person(s)  =  $ ________


Other person(s) included in registration: ________________________________________________


________________________________________________________________________________



  .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .  



MBWEEK  _______________________________________________________________________


                                                                 $ ______  MBW deposit  x  ____  person(s)  =  $ ________


Other person(s) included in registration: ________________________________________________


________________________________________________________________________________



.   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .  


MBWEEK  _______________________________________________________________________


                                                                 $ ______  MBW deposit  x  ____  person(s)  =  $ ________


Other person(s) included in registration: ________________________________________________


________________________________________________________________________________



Please make checks payable to M.B.W., and mail to: M.B.W.        TOTAL  $ ___________

c/o Kim R. Eckert, 1921 West Kent Road, Duluth, MN 55812



.   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .

  

                                                                                                                                                                       

All MBWeekends participants are expected to be members of the

Minnesota Ornithologists’ Union ($25 individual / $35 family); for membership information,

see  http://moumn.org/join.html .


Questions? Contact Kim Eckert  /  (218) 349 5953  /  eckertkr@gmail.com  /  MBWbirds.com



*          *          *


Minnesota Birding Weekends / Weeks (MBW) is covered by general liability insurance, but MBW participants are also asked agree to the following Acknowledgment of Risk and Release. Such a formality has become an unfortunate necessity of life in recent years, but I am confident that our 32nd season will again be without incident or accident, just as our first 31 years have been. (And note that our insurance includes coverage for false advertising....so, if we fail to see something included in a MBW's description, you can now sue me for up to a million dollars!)


MBW PARTICIPANTS' ACKNOWLEDGMENT OF RISK AND RELEASE:

All those who register for a Minnesota Birding Weekend / Week (MBW) recognize that there is a small risk associated with MBWs, certify that they are capable of participating in them, and assume full responsibility in the event of personal injury, loss, or damage to personal property during a MBW. In consideration of having their registrations confirmed for a MBW, all those attending will hold Minnesota Birding Weekends / Weeks and its leaders harmless for any injury, loss, or damage involving any of the participants during the MBW. Further, those volunteering to drive a vehicle during a MBW recognize and agree that they are covered by their personal automobile insurance.