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Revised: 02/23/2011 |
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13th Annual Animal Emergency
March 25, 2011 Cook College Campus of Rutgers
University $20.00 per person – Lunch included Please use one form per person Registration Deadline March 9, 2011 Fill out and
print form then mail with a check or purchase order to: Agenda 8:30am 8:50am–9:20am 9:20am–9:50 am 10:00am-12:20pm 12:30pm-1:15pm 1:30pm-3:40pm Participants
will be divided into groups and rotate throughout the stations. Each
station is 40 minutes in duration, with three (3) in the morning and three
(3) in the afternoon. Time schedules will be provided as to the rotation. MAKE CHECK PAYABLE TO: NJ FARM
PRODUCTS PUBLICITY FUND Print Name: Address: City:
State:
Zip Code: Phone Number: Email: Affiliation/Organization: Are you a member of CART? Yes No If yes, which one and what is your
position with CART? Disaster Related Education and ICS
Training: ICS 100 ICS 200 ICS 300 IS 700 IS
10 IS 11 IS 111 Animal Emergency Disaster
Experience: Yes No Number of years experience? Do you have the facilities to
shelter farm animals? Yes No Are you willing to shelter large
animals? Yes No Which species? How many? For how
long? Can we add you to our list of farm
animal shelters? Yes No
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