SCHOOL DAZE REGISTRATION FORM
Please send us the following information so we may prepare for your arrival. Registration deadline is November 1, 2010. HGMS IS LOOKING FORWARD TO MEETING YOU! School Daze is a free earth science educational program sponsored by the Houston Gem and Mineral Society during our annual show.|
PRIMARY CONTACT PERSON: ____________________________________
HOMESCHOOL GROUP: (if applicable) ____________________________________
GROUP LEADER: (if applicable) ___________________________________
CONTACT ADDRESS: (Street)______________________________
(City)_______________________________
(State, ZIP)__________________________
CONTACT PHONE: ____________________________________
CONTACT E-MAIL: ____________________________________
NUMBER OF STUDENTS IN EACH GRADE GROUP: Grade K-2 (age 5-8): ________ Grade 3-5 (age 9-11): ________ Grade 6-8 (age 12-14): ________ Grade 9+ (age 15+): ________ TIME OF ARRIVAL: ___________________________________ (Show hours: 9–6; Home School hours: 1 p.m.–5 p.m. This is because public and private schools attend in the morning. You may schedule on the ½ hour—1, 1:30, 2, 2:30…) SCHOOL ROCK SET CHOICE: ___________________________ Quartz Mineral Set ____ Rock Cycle Set___ Fossil Mini Set___Economic Minerals and Rocks___ (Please note that rock sets are limited to one per 25 registered students with a maximum of three sets per home school group.) |
OR Copy and paste the registration information into an e-mail for Nancy Fischer, then hit "send."
Scott
Singleton |