2008 Pinelands Summer Institute - Application Form

Please complete this form and mail it to us with a $100 registration fee, payable to Pinelands Preservation Alliance.

You can register on-line at www.pinelandsalliance.org by selecting the Education button and following the link to the Pinelands Summer Institute for Teachers.

Where else this summer will you get the chance to get up close and personal with an endangered timber rattlesnake, tour a cranberry farm, see the carnivorous sundew plant, and learn all there is to know about New Jersey’s most unique and fragile ecosystem? We’ll see you there!

Who are you?

First Name: Last Name:
Home Address:
City: Zip:
Home Phone: E-mail address

Where do you work?

Name of School:
School Address:
City:
Zip:
School Phone:
Grade:
Subject taught:

Do you have a particular Pinelands interest?

Yes No
What is it?

Please print this application form and send it with your $100 registration check to:
Mike Hunninghake
Pinelands Preservation Alliance
17 Pemberton Road
Southampton, NJ 08088
If you need any more information, please call us at (609) 859-8860 or e-mail mikeh@pinelandsalliance.org