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)
Please specify:

Other
Would you be interested in giving a 5 - 10 minute talk? Possible topics could include your current research or research you've completed. (There are limited spots; speaking times will fill up in the order they are received until full.)
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:
Which type of lodging would your prefer?
For shared lodging purposes, what is your gender identity? (select one):

Other
Please list any special accommodations needed.
Should be Empty:

Smith Foray Registration Form