Field Trip Registration

* Required Fields

Please provide the following information:

Select a Field Trip

Your Email

Your First Name

Your Last Name

Please list the first and last names of all registrants, including yourself (e.g.: Mary Maple, John Oak, etc.):

How many people are in your party?

Please check if you have participants under 13 years old.

If so, how old are they?

Phone number to call in case of cancellation

Comments

I hereby release SELT - the Southeast Land Trust of NH (“releasee”) of any and all claims and liability which may cause the undersigned injury, death or property damage. I further agree to hold releasee harmless and indemnify releasee from any claim, judgment or expense participant may incur by participation in this activity/field trip. I understand that participation in this activity/field trip involves danger and risk of injury. The inherent danger is understood and voluntarily assumed.

Address

City

State/Province

Zip/Postal Code

SELT does not trade, sell, or otherwise share your contact information.

Participation Activity

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Privacy Policy
We keep your personal information private and secure. When you submit this form, your name, contact information, and any additional information will be available only to our organization.

Southeast Land Trust of New Hampshire (SELT)
247 North River Road, Epping, NH 03042
603-778-6088
[email protected]
seltnh.org