BirdsCaribbean Cuba Bird Tour Registration Form - 24 Jan to 1 Feb 2020

Your Contact Information

Please complete this registration form (one per person) if you would like to join our Birdwatching Trip to Cuba, 24 January to 1 February, 2020. Any questions, please email trip trip leader, Lisa Sorenson (Lisa.Sorenson@BirdsCaribbean.org) or call/text Lisa at: 508-333-8587. Be sure to review the information on the Cuba Bird Tour webpage and PDFs.

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* 1. Contact information

Full name (exactly as it appears on your passport)

Name you wish to be called (if different)

Mailing address

City

State/Province

Zip/Postal Code

Country

Email Address

Cell Phone

Home Phone

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* 2. Endemic Birds of Cuba T-shirt preference: please indicate your preferred size and color. The fabric is 100% cotton, soft and a little stretchy. Note that we have "regular" t-shirts which fit both men and women, and "ladies" t-shirts which have a slightly fitted cut and cap sleeves (slightly shorter sleeves). The Ladies shirts run small, so order a size up. We'll do our best to match your preference!

	Small	Medium	Large	Extra Large	XX Large
Pebble brown/ taupe (regular)	Pebble brown/ taupe (regular) Small	Pebble brown/ taupe (regular) Medium	Pebble brown/ taupe (regular) Large	Pebble brown/ taupe (regular) Extra Large	Pebble brown/ taupe (regular) XX Large
Soft cream (regular)	Soft cream (regular) Small	Soft cream (regular) Medium	Soft cream (regular) Large	Soft cream (regular) Extra Large	Soft cream (regular) XX Large
Light blue (regular)	Light blue (regular) Small	Light blue (regular) Medium	Light blue (regular) Large	Light blue (regular) Extra Large	Light blue (regular) XX Large
Athletic heather/ gray (regular)	Athletic heather/ gray (regular) Small	Athletic heather/ gray (regular) Medium	Athletic heather/ gray (regular) Large	Athletic heather/ gray (regular) Extra Large	Athletic heather/ gray (regular) XX Large
Heather green (regular)	Heather green (regular) Small	Heather green (regular) Medium	Heather green (regular) Large	Heather green (regular) Extra Large	Heather green (regular) XX Large
Pebble brown/ taupe (ladies)	Pebble brown/ taupe (ladies) Small	Pebble brown/ taupe (ladies) Medium	Pebble brown/ taupe (ladies) Large	Pebble brown/ taupe (ladies) Extra Large	Pebble brown/ taupe (ladies) XX Large
Baby blue (ladies)	Baby blue (ladies) Small	Baby blue (ladies) Medium	Baby blue (ladies) Large	Baby blue (ladies) Extra Large	Baby blue (ladies) XX Large
Leaf green (ladies)	Leaf green (ladies) Small	Leaf green (ladies) Medium	Leaf green (ladies) Large	Leaf green (ladies) Extra Large	Leaf green (ladies) XX Large
Athletic heather/ gray (ladies)	Athletic heather/ gray (ladies) Small	Athletic heather/ gray (ladies) Medium	Athletic heather/ gray (ladies) Large	Athletic heather/ gray (ladies) Extra Large	Athletic heather/ gray (ladies) XX Large
Heather purple (ladies)	Heather purple (ladies) Small	Heather purple (ladies) Medium	Heather purple (ladies) Large	Heather purple (ladies) Extra Large	Heather purple (ladies) XX Large

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* 3. Please indicate if you prefer a single room or double room.

I want a single room if available. A single room supplement will be assessed (see field trip page)

I want to share a room. If no roommate is available, I accept that a single room supplement will be assessed. I plan to share a room (insert name below, we will assign you a roommate if you don't indicate one).

Roommate name

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* 4. Roommate notes:

I smoke.

I do not smoke.

I snore.

Other (please specify)

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* 1. Contact information

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* 3. Please indicate if you prefer a single room or double room.

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* 4. Roommate notes:

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* 5. How did you hear about this BirdsCaribbean bird tour?