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Student Registration for TWS Conclave 2014

Name _______________________________________________________________________________
Gender ______________________________________________________________________________
Email ________________________________________________________________________________
Student Chapter Affiliation Michigan State University Fisheries & Wildlife Club_____________________
T-Shirt Size ___________________________________________________________________________
Poster Presentation (yes or no) ___________________________________________________________
If yes, Title (please submit abstract along with registration) _____________________________________
_____________________________________________________________________________________
Do you have any dietary restrictions (vegetarian, vegan, gluten free, lactose intolerant, etc.)?_________
_____________________________________________________________________________________
Are you allergic to any other substances?___________________________________________________
_____________________________________________________________________________________
Do you have a disability or special needs we need to accommodate for? __________________________
_____________________________________________________________________________________
Can you Drive? If yes, how many people? (Gas will be paid for) __________________________________
_____________________________________________________________________________________

Registration forms, Travel Authorization Forms, and Payment due by Feb 27, 2014
PLEASE PLACE ALL ITEMS IN AN ENVELOPE WITH YOUR FIRST AND LAST NAME

MSU FW Club Eboard ONLY:

Completed Registration Form


Completed Travel Authorization Form
Paid $75 Cash or Check (Made out to MSU Fisheries and Wildlife Club)
Dues Paying Member for the Spring Semester