SCHOOL DAZE REGISTRATION FORM
Please send us the following information so we may prepare for your arrival. Registration deadline is September 25, 2008. Note that we are still accepting registrations! 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.
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NAME OF PRIMARY CONTACT:
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NAMES OF OTHER TEACHERS (for multi-class registrations): (Note: Please abide by normal ratio of 1:5 for lower grades, 1:8 for higher grades)
SCHOOL DISTRICT: SCHOOL NAME: GRADE LEVEL(s): CONTACT ADDRESS:
CONTACT PHONE: CONTACT E-MAIL: NUMBER OF STUDENTS: DESIRED
TIME OF ARRIVAL:
(Subject to schedule availability) SCHOOL ROCK SET CHOICE: Quartz Mineral Set ____ Rock Cycle Set___ Fossil Mini Set___Field Trip in a Box___ Economic Minerals and Rocks___ (One kit per class of 20 please; maximum three kits per school.) |
Mail to: Elsa Kapitan-White OR Copy and
paste the registration
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