Jepson Workshops, Registration Form

To register for a course, please read the cancellation policy and return this registration form with a $75 deposit for each course (credit card or check payable to UC Regents). For the Tree of Life series, full registration fee is required at time of sign-up.

Mail to:

Jepson Herbarium, University of California 1001 Valley Life Sciences Building # 2465 Berkeley, CA 94720-2465

Name____________________________________________________________ 

Address_________________________________________________________ 

City_______________________________ State & ZIP_________________ 

Phone (W)_________________________(H)___________________________ 

      (cell)__________________________ 

e-mail address__________________________________________________ 

Dietary restrictions and/or special needs ______________________ 

Are you a "Friend of the Jepson Herbarium"? __Yes  __No

Please check desired workshop[s]: 

BASIC BOTANY
___ Morphology & ID ($125/$150)
___ Fifty Families ($185/$210)
___ Herbarium Curation ($60/$85)

BOTANICAL ILLUSTRATION
___ Field Sketching ($185/$210)

TREE OF LIFE SERIES
___ Calif. Biogeography ($50/$65)
___ Evolution of Dinosaurs ($50/$65)

WEEKEND WORKSHOPS 
___ Intermediate Bryophytes ($235/$260)
___ Grimmia ($235/$260)
___ Saline Valley ($460/$485)
___ Poaceae ($235/$260)
___ Wetland Restoration ($235/$260)
___ San Jacinto Mountains ($460/$485)
___ White Mountains ($460/$485)
___ Humboldt County ($460/$485)
___ Yosemite National Park ($460/$485)
___ Carex ($360/$385)
___ Intermediate Plant ID ($235/$260)
___ Mushroom Diversity ($235/$260)

Amount enclosed $____________ 

Credit Card: (Visa or MC) Number: ____________________________________ 

Expiration Date: _______ Signature: __________________________________