FIELD TRIP REGISTRATION

2011 Annual Meeting

Southern Lepidopterists’ Society &

Association for Tropical Lepidoptera

Yankeetown/Gulf Hammock Butterfly Excursion

14 October 2011

Participants will meet the field trip coordinator in the Florida Department of Agriculture and Consumer Services Doyle Conner Building (1911 SW 34th St., Gainesville) parking lot (north side). We plan to leave by 8:30 am and will return by 3:00 pm. Contact Marc Minno (mminno@bellsouth.net; 352-219-1009 cell) for updates on meeting time and transportation. A variety of habitats including flatwoods, maritime hammocks, swamps, and salt marshes are available to explore. Please be prepared to carpool or provide your own transportation, food, beverages, special equipment, and insect repellant as needed.

Name: __________________________________________________________________

Address: ________________________________________________________________

Phone: ______________________________ cellular: __________________________

Emergency Contact: _______________________________________________________

 

RELEASE FROM LIABILITY

I release the McGuire Center for Lepidoptera, Florida Museum of Natural History, University of Florida, the Southern Lepidopterists’ Society, the Association for Tropical Lepidoptera, society/association officers, and field trip leaders from any liability that may result from my participation in field trips arranged in association with the annual meeting. I understand that I may be providing my own transportation or may be driven in a private vehicle and there are potential hazards in the field. I assume all responsibility, personal and financial, for accidents, personal injury or loss incurred as the result of my participation in any field trip.

Name (print legibly) ______________________________________________________

Signature ________________________________________ Date ___________________

 

Parent or Guardian of minor children:

Signature ________________________________________ Date ___________________