Registration Form

	2017 Watershed Day at the Capitol
 “Waters in Peril?”

Wednesday, March 29, 2017
9:00 am – 12 Noon
CalEPA Building's Klamath Room
1001 I Street
Sacramento, CA

Meetings with Legislators at the Capitol from Noon – 4:00 pm
Make your appointments and bring them pictures of your watershed!

Name:  		
Title:  		
Agency/Organization:		
Address:	

 Phone:  		
E-mail:		

Registration Fee
	Please Check Box 	
Early Registration (by March 15)	$50.00		
Registration after March 15 	$65.00		

Click here for PAYPAL payment option

Or mail this registration form with a check made out to “California Watershed Network” to:

California Watershed Network 
18030 Brookhurst, #365 
Fountain Valley, CA  92708

Questions?    	Contact Michael Wellborn at 714.928.8689 or (michael [at] watershednetwork.org)
	Credit cards will be accepted at the event registration table.
	SRF conference attendees with the Field Trip do not need to complete this form.