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Field Botany Registration
2021
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Email
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Your email
Name:
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Your answer
Email address:
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Your answer
Phone #
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Your answer
City, State
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Your answer
Age:
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17-24
25-40
41-60
60+
Do you have any significant medical conditions or allergies?
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Your answer
Emergency Contact (name & phone #)
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Your answer
Do you have any previous experience in botany, plant ID or foraging?
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Your answer
What are you hoping to gain from this program? What after your goals are completion?
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Your answer
Do you have any questions about the program?
Your answer
How did you hear about us?
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Your answer
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