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.

  

NAME OF PRIMARY CONTACT:

 

                                                       ________________ _______     

 

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)
Due to overcrowding in the early morning hours, we request that any school which is able (particularly the private schools who may have more flexible schedules) to please schedule their arrivals for late morning to early afternoon (10:30 onward). The 9:00, 9:30, and 10:00 arrival times are the most requested and therefore the most crowded.

SCHOOL ROCK SET CHOICE:                                                              

 Quartz Mineral Set ____

 Rock Cycle Set___

 Fossil Mini Set___
 Economic Minerals and Rocks___

 (One kit per class of 20 please; maximum three kits per school.)

Mail to:

Chris Peek
11719 Brighton Ln.
Stafford, TX 77477-1726
(281) 575-0542

OR

Copy and paste the registration
information into an e-mail message for Chris Peek.


For information, contact:

Scott Singleton
713-664-9033
fossilwood@comcast.net