YERKES OBSERVATORY
The University of Chicago

373 W. Geneva St, Williams Bay WI 53191 (Latitude 42 34.2, Longitude -88 33.4)

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In this free event, children in grades K - 6 and their parents will learn about and experience the joy of migratory birds. In the Lions Field House, you'll be learning about the local migratory birds as you do fun activities: building simple birdfeeders, making collision-stopping window clings, planting bird-friendly flowers, and more! If weather permits, you'll also have the opportunity to go through the Kishwauketoe Nature Conservancy on a birding hike, led by well-known local birder Wayne Rohde.
Registration is Limited!

If you need more information, please e-mail the coordinator at hjd123@yahoo.com

Parent and Child Program Registration Form:
Yes, we would like to participate in the International Migratory Bird Day Event, for children in grades K - 6, at Lions Field House and Kishwauketoe Nature Conservancy!
* denotes required fields

Personal Information

Student Name * Please enter the students name					Gender Choose Gender Boy Girl		Parent Name * Please enter the parents name
Address

City

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Zip Please enter a valid Zipcode

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Parent Cell Please enter a valid phone number

Parent E-Mail * Please enter the parents emailPlease enter a valid email address

School

Grade Choose Grade K 1 2 3 4 5 6

Please list below any additional children from the same family who will be attending.

Name				Gender Choose Gender Boy Girl		School				Grade Choose Grade K 1 2 3 4 5
Name				Gender Choose Gender Boy Girl		School				Grade Choose Grade K 1 2 3 4 5
Name				Gender Choose Gender Boy Girl		School				Grade Choose Grade K 1 2 3 4 5
Name				Gender Choose Gender Boy Girl		School				Grade Choose Grade K 1 2 3 4 5

Photo release and Medical/Emergency Information

Parent: I give Yerkes Observatory permission to take pictures of my family at the YEEP event to use for educational and publicity purposes. I agree

Medical Information: Please list any medical information that we need to know for the safety of the participants.

Emergency Phone * Please enter an emergency phone numberPlease enter a valid phone number

Last updated on May 3, 2013