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.)




Mail to:

Nancy Fischer
5651 Cheena Dr.
Houston, TX 77096
713-721-1312

OR

Copy and paste the registration information into an e-mail for Nancy Fischer, then hit "send."


For information, contact:

Scott Singleton
713-664-9033

fossilwood@comcast.net