Please print out this form

2005 Summer Course Registration Form

Please register me/us for:

___ Reading the Gestures of Life: $480
      $440 Nature Institute Friends, $350 Students/Seniors

___ Advanced Course: $435
      $410 Nature Institute Friends, $330 Students/Seniors

Tuition includes all materials, as well as morning and afternoon snacks.

Please pay course fee in full (subtract $25 if registering before May 1, 2005)

My check for $____________ is enclosed (payable to The Nature Institute)

_______________________________________________________________
Name

_______________________________________________________________
Address: Street City State Zip

Home phone ______________________ Work phone____________________

________________________________
E-mail

____ I wish to stay in private home and need housing for ________ nights.
____ I would like more information about housing options.
____ I will arrange for my own lodging.
____ I expect to have my own transportation.
____ I expect to need transportation.

Space in the courses is limited, so please register as early as possible.

For more information call us at (518) 672-0116 or email:
info@natureinstitute.org

Send this form to:

The Nature Institute, 20 May Hill Road, Ghent, NY 12075
or fax it to: 518-672-4270