Registration Form for Pinelands Adventures

Please fill out this form, print it and mail it to us with payment. We are currently unable to accept online registration.
Please make checks payable to Pinelands Preservation Alliance. Thank you for your interest and we look forward to welcoming you on a Pinelands Adventure. All our Pinelands Adventures are by Pre-Registration only. Please call (609) 859-8860 to confirm space availability before registering.

Your details
First Name: Last Name:
Address#1: Address#2:
Address#3:
City: State: zip:
e-mail: Phone number:

Your Adventure Choices
Program Date Number
attending		 Fee per
person		 Total
Jersey Devil Hunt $15
Basic Wilderness Survival $40
Survival Overnight $55
Navigating the Pinelands $40
Overnight Camp Out $35
Big Swamp Cougar Hunt $40
Canoeing Piney Rivers $15
Overnight Canoe Trip $35
Membership in PPA
Pinelands Watch No Fee
Sub Total Sub total
Member Discount - less 10% -10%
Grand Total TOTAL

Mail this form and a check for the total to Pinelands Preservation Alliance, 17 Pemberton Road, Southampton, NJ 08088. Call (609) 859-8860 or e-mail Russell if you need more information.