Smith Foray 2025 Registration Form

Smith Foray Registration Form
Camp Butternut Springs

650 N 175 W

Valpraiso, IN 46385
Attendee Information
Primary Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Affiliation (University, Place of Employment, etc)
ProfessionalInstructorGraduate StudentUndergraduate StudentOther
YesNo
Tentative talk title
Choose your registration type:*
prevnext( X )
Professional/Instructor/Mycologist
Thursday afternoon arrival/Friday meals/forays/speakers/lodging, Saturday meals/forays/speakers/lodging, Sunday breakfast/casual foray

$175.00

Student
Thursday afternoon arrival/Friday meals/forays/speakers, Saturday meals/forays/speakers, Sunday breakfast/casual foray

$125.00

Total

$0.00
Please select if you have any dietary preferences:
Lodge (2 lodges available: Friendship A Lodge sleeps 20, Friendship B Lodge sleeps 24. )Camping (bring your own tent/camper; limited electrical hook up)Offsite/Other
ManWomanOther
Please list any special accommodations needed.
Should be Empty:

Smith Foray Registration Form