Registration Form- Texas Prescribed Burn Workshop

March 5-9, 2012 (meets Texas Department of Agriculture certification standards)

 Rocksprings/Sonora, Texas-Newby Ranch

 

Name:

______________________________________________________________________

Address:

______________________________________________________________________

City, State, Zip Code:

______________________________________________________________________
Email: ______________________________________________________________________
Phone home__________________________________mobile___________________________
Ranch, Company, College or Agency ______________________________________________________________________

 

If you have any physical limitations regarding the field exercises please contact us prior to the workshop.  This will help determine the appropriate tasks you will be assigned during the prescription burns.  Each participant will be required to sign a Liability Release Form for the Newby Ranch.Each participant will be sent an info packet after registration.

 

Participant Fees

Options

$100 discount for the following: 

member of a Prescribed Burn Association, member of a VFD, or currently enrolled college students

 

Registration Page can be emailed if payment was made in PayPal.

 

Mail Registration and Payment (if by check) to:              Tax ID: 74-2973123

Red Buffalo, LLC , 205 Bisonte Rojo Rd., Medina, Texas 78055

830-589-2999   830-459-0444

keith.blair@myredbuffalo.com