Maple Sugaring at Home – 2 pm January 27 Maple Sugaring at Home for the 2 pm Monday, January 27 How many people are you registering? * 1 2 3 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Your Registration Info First Name * Last Name * Email Address * Event Fee(s) For a family, place a '1' by the family fee (dependent upon being a Friends member or non-member). Member Individual $15.00 Member Family (immediate family only up to 6) $25.00 Non-Member Individual $25.00 Non-Member Family (immediate family only up to 6) $35.00 Total for this participant Payment Options Payment Method Pay Online via Credit Card I will send payment by check Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States Canada State/Province - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code Contact Information Street Address * City * State * - select State/Province - Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Postal Code * Phone * I authorize Friends of Five Rivers, Inc., to use my photograph – with or without my name (only first name and last name initial if a minor) – for any lawful purpose, including organization-related printed and digital publications, on organization social media platforms (Facebook, Instagram, LinkedIn), and organization website all as needed to help promote and advertise the organization’s events and activities. I understand and agree that these photos are or will become the property of Friends of Five Rivers, Inc. I also waive the right to approve the finished product where my likeness appears. I understand this consent will remain in effect indefinitely until the images are no longer used by the Friends of Five Rivers, Inc., in electronic or printed formats for its communications or media relations activities. I have read and understand the above. Media Consent Media Consent Permission YES NO Review
