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REDISCOVER THE RIVER: 4 DAY MISSISSIPPI RIVER EXPEDITION
The Basics... Why are we asking for so much information?

*First & Last Name:
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*Work Email:
*Home Address:
*City:
*State:
*Zip:
County:
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School/Organization/Agency:
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Professional Development...
Please check if you:
Would like graduate credit for taking this workshop
Would like recertification credits for attending this workshop
Would like professional development credits for attending this workshop
I am a licensed teacher in state.


Grub...
All breakfast, lunch and one dinner will be arranged by LL&W. A light breakfast will be served daily around 8am and will consist of coffee, juice, fruit, granola bars, muffins, etc. Lunch wil usuallyl consist of deli-style sandwiches, chips, pop, etc. Dinner will be a cook-out of various river fish and wild edibles. At all ports we overnight in, there are dinner places nearby.
I'll eat whatever you provide
I prefer vegetarian meals
I have specifid dietetic needs. Please explain:


Sleeping Accomodations...

LL&W will make all overnight arrangements and reservations for the nights of July 16, 17, and 18th. However, it will be your responsibility to pay for your room upon arrival. We are getting a group rate, discounting the fee. Due to the likelihood of extreme heat (it is July in the Midwest!) and logistical issues, we are not providing a camping option. More details on how to reserve a room will be provided after registration form is received by LL&W.


WHERE?

July 16 Grafton, IL
(We will most likely stay at the Pere-Marquette Lodge. The fee for a room is 69.50 for a single, 89.50 for a double. This is the most expensive place we are staying but it is a gorgeous facility and grounds. There are hiking trails overlooking the confluence of the Illinois and Mississippi Rivers, indoor pool, hot tub, sauna, dining, game room, bar, etc. Please check out http://www.greatriverroad.com/Pere/lodging.htm for more info)

July 17 Louisiana, MO
(We will most likely be staying at THE hotel in Louisiana. This is a private hotel, the only one in the area. It’s a bit rustic, no frills but IT IS right on the river in beautiful, quaint river towns.

July 18 Hannibal, Missouri
TBA

WITH WHO?
(After the workshop is full, I will match up roommates and notify you prior to the workshop who your roomie will be for the trip.)

I wish to lodge with a friend/co-worker.
Roommate name:

I don't know anyone else attending. Please find me a roommate.
Male Female

I wish to have private lodging (Note: You will be responsible for the extra room rates)

Emergency Contact info...
In case of an emergency, please contact:
Name:
Address:
Primary Phone:
Secondary Phone:
Relationship:
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Other...
Where did you hear about the workshops?
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Professional Connection to the River:

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Is this the first LL&W Big River Educational Workshop you have attended?
yes No

If no, can you list the location or year of all past workshops you have attended?


Questions/Comments

*NOTE: Due to Coast Guard regulations, Living Lands & Waters can NOT accept any money as a fee or donation for the workshop.

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