National Fossil Day 2024 Registration
Saturday, October 12th, 2024 1:30 - 3:30pm
Child/Children Registration
*
How many children will you be registering?
*
1. Child Name
*
First Name
Last Name
1. Child Grade
*
Please Select
K
First
Second
Third
Fourth
Fifth
2. Child Name
First Name
Last Name
2. Child Grade
Please Select
K
First
Second
Third
Fourth
Fifth
2. Child School
3. Child Name
First Name
Last Name
3. Child Grade
Please Select
K
First
Second
Third
Fourth
Fifth
3. Child School
4. Child Name
First Name
Last Name
4. Child School
4. Child Grade
Please Select
K
First
Second
Third
Fourth
Fifth
5. Child Name
First Name
Last Name
5. Child School
5. Child Grade
Please Select
K
First
Second
Third
Fourth
Fifth
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National Fossil Day 2024 Event
Admission Per Child, No refunds. Please update Quantity to reflect number of registered students!
$
15.00
Quantity
Item subtotal:
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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Guardian Name
*
First Name
Last Name
Guardian E-mail
*
example@example.com
Mobile Number
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I hereby grant permission to Speaks for Trees and More and Heidelberg Materials, Aggregates to use photographs and/or video taken during this event in publications, news releases, online, and other communications.
*
I, legal guardian of child(ren) listed above, authorize Speaks for Trees and More and Heidelberg Materials, Aggregates to seek, obtain, and consent to emergency medical care & treatment as deemed necessary by a medical professional.
*
I hereby release, Speaks for Trees and More and Heidelberg Materials, Aggregates from any and all damages, injuries, causes of action which may accrue to or be asserted by me or any child(ren) of mine arising directly or indirectly from my child’s participation in the National Fossil Day 2024 event.
*
Signature
Date
-
Month
-
Day
Year
Date
Additional Comments
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