Florida Ecological and Evolutionary Symposium 9-11
April 1999
Registration Form (**Due March 15, 1999)
Name: ___________________________________________ Affiliation:_________________________________
Address:___________________________________ ___________________________________________________________________________________
Phone: ____________________________ Email:_____________________________
Grad. Student :___YES ___NO Advisor's Name:_______________________________
Title of Talk:_________________________________________________________________________________
___________________________________________________________________________________________
Subject Area:___________________________________
Brief Description (No more than 50 words)__________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Abstracts must be emailed to James
Vonesh before the March 15th deadline.
Symposium Fees:
Registration Fee-All Attendees $10.00 ......................................................................................................$10.00
______
Station Fee $7.00 .......................................................................................................................................$7.00
______
Friday Lodging $15.00..............................................................................................................................$15.00
______
Saturday Lodging $15.00 .........................................................................................................................$15.00
______
Friday Dinner $8.00 ...................................................................................................................................$8.00
______
Saturday Breakfast and Lunch $8.00...........................................................................................................$8.00
______
Sunday Breakfast and Lunch $8.00.............................................................................................................$8.00
______
Friday Night Symposium Barbeque $8.00 ...................................................................................................$8.00
______
Please indicate your preferred meat: _____Steak ____Chicken ___Ribs___Vegetarian.
TOTAL (if you sign up for everything, total is $79.00) ..................................................................................Total________
TOTAL with discount of $14.00 if you register for the entire weekend
by March 15 ($65.00).........Revised Total_________
Please indicate vegetarian option for all meals ______.
**Discount is not available, lodging may not be available, and meals
may not be available for those who register after March 15th: Make checks
payable to: Florida Ecological and Evolutionary Symposium '99 Mail check,
registration form,and disclaimer to:
James Vonesh
Department of Zoology
223 Bartram Hall
University of Florida
Gainesville, FL 32611
RELEASE ARCHIBOLD EXPEDITIONS A Non-Profit
Corporation
I am aware that the activities in which I will participate at the Archbold
Biological Station entail certain dangers, including but not limited to
the hazards associated with forested terrain and lakes, accidents or illness
in remote areas without medical facilities, the forces of nature including
venomous and disease bearing animals and toxic plants, and travel by plane
or station vehicle including all-terrain vehicles and boats or canoes.
In consideration of, and as part payment for access to Station property,
the undersigned for his/her spouse, legal representatives, heir and assigns,
hereby releases, waives and discharges the Archbold Biological Station,
MacArthur AgroEcology Research Center and Archbold Expeditions, its officers,
members, agents, employees and directors and each of them from all liability
for any loss, damage, or claim, resulting from the undersigned's activities
on the premises of Archbold Biological Station or MacArthur AgroEcology
Research Center, caused by the negligence or otherwise of Archbold or its
agents, employees, officers or directors. These terms hereof shall serve
as release and assumption of risk for my heirs, executors, administrators,
and for all members of my family. I affirm that my general health is good
and that I am not under doctor's care for any condition which will endanger
my health or the health of other participants. I agree to accept responsibility
for any members of my group under 21 years of age unless release is signed
below by their parent or guardian.
Date________________________ Applicant's Signature______________________________
THIS DISCLAIMER MUST BE INCLUDED WITH YOUR REGISTRATION FORM AND PAYMENT
REGISTRATION DEADLINE: MARCH 15, 1999
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