Category Archives: Become a Wildlife Rehabilitator

Enrollment CT – November 10th, 2018 – Edinboro, PA

Instructions:

Fill out the form below.
Once submitted, a PayPal link will appear below the submit button.
Complete the enrollment by proceeding to PayPal.
If enrolling multiple students, please indicate these on the form and select that number at PayPal.
Thank you

If you prefer not to use PayPal, or if the paypal button doesn’t pop up, complete the form and then email peggy @ wildlifeedu.com and we will send you an invoice.


Name on Paypal Account if different from student #1

Student Enrolling

IMPORTANT - Email where student can receive instructions:

Address:

City:

State:

Zip:

Phone:

List Additional Students Enrolled and the email where they can receive instructions:


Name:

email:

Name:

email:

Name:

email:

Name:

email:

Name:

email:

Name:

email:

Comments or message