Watershed Watch Conference Pre-Registration

Please use this form to register for the following:
  1. November 14, 1998, Kentucky River Watershed Protection Conference, Midway College
  2. November 21, 1998, Licking River Watershed Protection Conference, Bourbon Co. Middle School
  3. December 5, 1998, Salt River Watershed Protection Conference, University of Louisville
    :Your name
    :Your organization
    :Your street address
    :City, State, Zip
    :Day Phone number
    :Evening Phone number
    :Your email address
    IMPORTANT! Be sure to enter your E-mail address correctly!
    Select the confernece you plan to attend. If you are not sure of the area, check this map.
    list creek or stream name of interest
    Please let us know what kind of information or topics you would like to see addressed at this workshop.
    Registration Class Check all that apply
    Sampling volunteer!
    Science advisor
    Agency representative
    Speaker or facilitator
    Interested citizen
    Representing my company
    There is a registration fee to cover lunch and some materials. Due to varying costs, each registration fee is different, but never more than $15.00 for the day. Please indicate how you plan to pay the registration
    I will mail a check to the address below.
    I will pay at the door

    Before you send the information, print out this form for your records. If you are sending in your registration fee by mail, please print this form out and mail it with your check to:
    Watershed Watch Watershed Protection Conference
    P.O. Box 88
    Versailles, Kentucky 40383

    Now, send us your pre-registration by clicking the button below
    to send your registration. to clear the form and start over.