banner link to ISGS Home Page  

Intro | Trip Details | Registration | Trip Flyer (800K PDF)

ISGS Field Trip Registration Form
for Horseshoe Lake Conservation Area,
Thebes and Surrounding Areas
Please choose a field trip:     April 26, 2008       May 31, 2008

(Note: with the exception of Teachers bringing students or Group Leaders, like Boy Scouts Troup Leaders, EACH attendee MUST fill out a separate registration form.)

First Name:            Last Name:

Your Address:
       
       
City: State: Zip:

Occupation:      Teacher       Retired       Student
    Other:

Teachers/Group Leaders Only Students/Members
*How many students and chaperones will accompany you?
K-4     5-8     9-12
Undergraduate     Graduate
Other:

*Places will be reserved so please be as accurate as possible in your count. Please include your e-mail address so that a release form can be e-mailed to you before the trip. Each student and chaperone must sign a copy of the release and turn it in the day of the trip.

Teachers and students please enter your school name:

How did you learn about the field trip:
Flyer       Newspaper       Website       From a Friend       Radio
      Other:

Is this your first field trip?       Yes       No

Give us your e-mail address and we'll send you a registration confirmation and a reminder the week before the trip:

Registration is limited to the first 150 participants. All reservations will be taken on a first-come first-served basis.
A $10.00 per participant registration fee will be collected the day of the field trip.
Note: students and children 12 years old and under are free.

   

 

University of Illinois logo

ILLINOIS STATE GEOLOGICAL SURVEY
INSTITUTE OF NATURAL RESOURCE SUSTAINABILITY     |    UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN

Home   |   Search   |   Site Map   |   Contact Us

Updated 2/11/2008 SLD