Fire and ice in the Owens Valley

Size: px
Start display at page:

Download "Fire and ice in the Owens Valley"

Transcription

1 June 25-27, 2010 Fire and ice in Owens Valley Led by dr. donald Proro, this three-day trip will ur geologic wonders of owens VaLLey. come explore natural wonders of owens Valley-Mammoth Mountain area! we will hike on youngest extinct volcano in us, and see oldest living organisms on earth. we will visit rapidly vanishing Mono Lake and its peculiar rock formations, observe numerous recent earthquake faults, see spectacular evidence of glaciers and lava flows in sierras and source of volcanic eruptions that once covered half of north america. come visit spectacular alabama hills, where many western movies were filmed, and huge dry falls cut by ice age lake floods. ur package includes charter bus, 2 nights at a hotel with breakfast, picnic lunch all 3 days, snacks and water, lectures, park admission and shuttle fees, and a guide booklet. you trip fee also includes a $100 donation skeptics society. seats are limited, so make your reservations soon! we will stay both nights in beautiful best western creekside inn, premier hotel in bishop, california. a creek flows through landscaped grounds of this hotel, and re is also a heated pool and spa. you are on your own for evening meals. re are several nice restaurants within short walking distance of hotel. JUNE 25-27, 2010 (FRIDAY-SUNDAY) FIRE AND ICE IN THE OWENS VALLEY REGISTRATION FORM name address city state zip phone Please mark number of people participating in boxes below: To secure your place phone Skeptics Society office with a credit card number at Fill out and return registration, liability waiver and medical information forms complete your registration. n Skeptics Society members: (single $631. each $ n Skeptics Society members: (shared room-find your own $428. each.$ n nonmembers: (single $731. each $ n nonmembers: (shared room-find your own $528. each $ GEOLOGY TOUR DISCOUNT SKEPTICS MEMBERSHIP RATE! Join Skeptic Society now & receive Skeptic magazine for only $25 and attend ur at member s rate. (U.S. residents only) $ CHECK # TOTAL PAYMENT OR deposit included $ Request LUNCH type n regular n vegetarian PRINT names of participants below exactly as you would like m appear on badges: Charge my: nmastercard n VISA EXPIRATION DATE Month Year Account No. Signature as name appears on credit card VISA MasterCard * Roommates: The Skeptics Society is not responsible for finding roommates. We will let individuals know who else wants share a room, but if a suitable roommate is not found, you will be charged individual price. Cancelation policy: Before May 9: full refund. After May 9 thru June 9: $100. donation is not refundable, half refund of rest of fee. After June 9: no refund. Mail : Geology Tour, Skeptics Society, P.O. Box 338, Altadena, CA Fax: 626/ Or phone us at 626/

2 itinerary June 25-27, 2010 Fire and ice in Owens Valley Friday, June 25 7:30 Bus Arrives. Load luggage 8:00 a.m. Bus leaves from Paseo shopping center located at 280 East Boulevard in Pasadena, CA See attached map Meet on sidewalk on north side of building between N. Garfield Ave. and Eucild Ave. Parking is $9. per day. 10:00a.m Red Rock Canyon State Park 11:00a.m. Depart Red Rock Canyon 12:00p.m. Lunch Fossil Falls 1:30 p.m. Load bus 2:15 p.m. Lone Pine/Alabama Hills Visir s Center 2:45 p.m. Depart Visir s Center 3:00 p.m. Lone Pine 1872 Fault Scarp, Alabama Hills 5:00 p.m. Check-in at hotel. Dinner is on your own. Best Western Creekside Inn, 725 N. Main Street, Bishop California. Phone: 1-(760) saturday, June 26 6:30 a.m. Breakfast begins at hotel buffet 7:50 a.m. Load bus 8:00 a.m. Depart hotel 8:20 a.m. Scenic Overlook 8:45 a.m. Depart Overlook 9:30 a.m. Devil s Postpile National Monument (wear permitting) 10:30 a.m. Load bus 11:00 a.m. Lunch - Earthquake Fault Picnic Area, Mammoth Lakes 12:30 p.m. Load bus 1:00 p.m. Mono Lake 2:00 p.m. Load bus 2:15 p.m. Panum Crater 3:30 p.m. Load bus 3:45 p.m. Lee Vining/Momo Lake USNPS Visir s Center, Lee Vining, CA 4:30 p.m. Load bus 5:00 p.m. Owens Gorge 5:30 p.m. Load bus 6:00 p.m. Return your room at Best Western Creekside Inn. Dinner is on your own. sunday, June 27 6:30 a.m. Breakfast begins at hotel buffet 7:50 a.m. Load bus 8:00 a.m. Depart hotel 9:30 a.m. Ancient Bristlecone Pine Forest, Inyo National Forest 10:30 a.m. Load Bus 12:00 p.m. Lunch Dehy Park, Independence, CA 1:15 p.m. Load Bus. 3:30 p.m. Break: Red Rock State park (stretch and bathroom sp) 5:30 p.m. Arrive back at Pasadena s Paseo shopping center at 280 East in Pasadena, CA Contact Person: Teresa LeVelle, Skeptics Society Geology Tour, P.O. Box.338, Altadena, CA Or fax : 626/ Or phone us at 626/

3 JUNE 25-27, 2010 Fire and Ice in Owens Valley SKEPTICS SOCIETY PARTICIPANT RELEASE AND WAIVER (All participants must complete this form for high-risk activity trips. i.e. hiking, rock climbing, desert/beach trips, etc.) 1. I AM AWARE OF THE RISKS OF CHOOSING TO PARTICIPATE IN THIS ACTIVITY. I ASSUME AND ACCEPT THE RESPONSIBILITY FOR THESE RISKS: I am aware that participating in geology ur on June 25-27, 2010 involves risks of personal injury, property damage and or associated risks. The activity has been explained me, including risks involved in participating in this activity, and I understand se risks. I voluntarily agree participate in this activity. I freely agree assume and take upon myself, full responsibility for any such risks of loss, property damage or personal injury, including death, that may be sustained by me as a result of participating in this activity wher caused by negligence of Skeptics Society or orwise. 2. I PROMISE NOT TO SUE THE SKEPTICS SOCIETY OR THE TRIP LEADERS DONALD PROTHERO AND TERESA LEV- ELLE FOR ANY INJURIES OCCURRING WHILE I AM PARTICIPATING IN THIS ACTIVITY: In consideration of Society s efforts in making this educational trip available and my being allowed participate, I hereby agree release, indemnify, hold harmless and forever discharge Skeptics Society, its direcrs, officers, employees, edirial/advisory board and agents, as well as trip leaders Donald Proro and Teresa LeVelle, from any and all claims and causes of action which might be brought by me or my parents or dependents on my behalf for loss of property, personal injury or death sustained by me arising out of any travel or activity conducted during period of my participation in above named activity. I understand that this release covers liability claims and actions caused entirely or in part by any acts or failures act of Skeptics Society (or its direcrs, officers, employees, edirial/advisory board and agents), Donald Proro or Teresa LeVelle including but not limited negligence, mistake or failure supervise by Society or ur leaders. 3. I WILL REIMBURSE THE SKEPTICS SOCIETY OR THE TRIP LEADERS DONALD PROTHERO AND TERESA LEVELLE FOR ANY COSTS IT INCURS DUE TO INJURY OR DAMAGE RESULTING FROM MY PARTICIPATION IN THIS ACTIVITY: I agree indemnify Skeptics Society, Donald Proro or Teresa LeVelle for any loss or costs, including medical bills, court costs and atrneys fees that it might incur due injury or damage resulting from my participation in this activity. 4. THIS AGREEMENT WILL ALSO PREVENT MY FAMILY FROM SUING THE SKEPTICS SOCIETY OR THE TRIP LEAD- ERS DONALD PROTHERO AND TERESA LEVELLE: It is my intent that this Agreement shall bind members of my family and spouse, if I am alive, and my heirs, assigns, and personal representative, if I am deceased. This Agreement shall be deemed as a release and consent not sue regarding any claims se parties may have against Skeptics Society or trip leaders Donald Proro and Teresa LeVelle relating my participation in this activity. 5. This Agreement shall be construed in accordance with laws of State of California. In signing this Agreement, I acknowledge that I have read it and understand it, I agree be legally bound by it and that I sign it voluntarily. IF PARTICIPANT IS UNDER EIGHTEEN (18) YEARS OF AGE, THE SIGNATURE OF A PARENT OR LEGAL GUARDIAN IS REQUIRED. Participant s Signature Date Printed Name Participant/Parent/Guardian Signature Date Printed Name Please return this completed form : Skeptics Society, P.O. Box 338. Altadena, CA YOUR TRIP REGISTRATION WILL NOT BE COMPLETED WITHOUT THIS FORM

4 JUNE 25-27, 2010 Fire and Ice in Owens Valley SKEPTICS SOCIETY PARTICIPANT MEDICAL INFORMATION FORM (All participants must complete this form for high-risk activity trips. i.e. hiking, rock climbing, desert/beach trips, etc.) Participant s Name Birth Date Insurance Provider Insurance Telephone Insurance Address Date Docr s Name Docr s Telephone Contact Person (in case of emergency) Contact Person s Telephone Please return this completed form ALONG WITH A COPY OF YOUR INSURANCE CARD : Skeptics Society, P.O. Box 338. Altadena, CA YOUR TRIP REGISTRATION WILL NOT BE COMPLETED WITHOUT THIS FORM

5 134 Fair Oaks Av. Union Corson o (one way ) Walnut Marengo Av. N Garfield Av. Euclid Westin Hotel You may park at Paseo Shopping Center at 280 East Pasadena, CA Parking is $9. per day. BUS WILL LOAD ON THE SIDEWALK IN FRONT OF THE PASEO COLORADO ON COLORADO BLVD., ( striped area between N. Garfield Ave. and. Euclid ) ENDS Green e Del Mar Arroyo Pkwy. PASEO COLORADO O Sheran Hotel Cordova Los Robles Av. Oakland Av. Enter shopping center's underground parking area from Turn at Euclid drive down ramp and under building. Hiln Hotel p (A Starbucks is located on corner of shopping center at white "X".) 134 ENDS Fair Oaks Av. Arroyo Pkwy. 110 Walnut Marengo Av. Euclid PASEO COLORADOO Los Robles Av. Oakland Av. Del Mar Corson (one way ) Cordova ov El Molino Av. Oak Knoll Av. California n PASADENA ADE A Unionn Hudson Av. Lake Av. o Green Wilson Av. Michigan Av. Chester er Av. Hollisn o Av. Hill Av. Caltech Campus Pasadena City College Allen Av. o o.25.5 Miles Km.5 1.0

A DeAth VAlley ADVenture

A DeAth VAlley ADVenture January 16-18, 2010 A DeAth VAlley ADVenture Led by dr. donald Proro, this three-day trip will ur geologic wonders of natural hisry of great basin Join us for a 3-day, 2-night ur of beautiful scenery and

More information

Saturday-Monday MLK Weekend, January 14-16, 2012

Saturday-Monday MLK Weekend, January 14-16, 2012 Saturday-Monday MLK Weekend, January 14-16, 2012 LEd by dr. donald PrOthErO Join Skeptics Society for a wonderful three-day ur of highlights of Mojave Desert and Las Vegas area. We will sp at hisric resred

More information

Please mark the number of people participating in the boxes below:

Please mark the number of people participating in the boxes below: January 18-20, 2014 Led by dr. donald Prothero, this three-day trip will tour the geologic wonders of natural history of the great basin come join the skeptics society for an exciting trip to the geological

More information

Please mark the number of people participating in the boxes below:

Please mark the number of people participating in the boxes below: January 19-21, 2013 Death Valley ReDux Led by dr. donald Prothero, this three-day trip will tour the geologic wonders of natural history of the great basin come join the skeptics society for a fun three-day

More information

Lilydale Fossil Hunt Friday, September 14, 2012

Lilydale Fossil Hunt Friday, September 14, 2012 Lilydale Fossil Hunt Friday, September 14, 2012 Understand and experience this site in St. Paul from a solid scientific perspective, rather than an evolutionary theory perspective. Most of the time will

More information

Be A Paleontologist For A Week!

Be A Paleontologist For A Week! Be A Paleontologist For A Week! Join Science Center staff as we trek to eastern Montana to experience life as a paleontologist! During the week you will prospect for fossils of both dinosaurs and other

More information

Undergraduate Student Organization Travel Application

Undergraduate Student Organization Travel Application Undergraduate Student Organization Travel Application 2011-2012 Organization Checklist: Application submitted at least 40 business days (8 weeks) prior to travel Proper Campus Advisor authorization Supporting

More information

Travelearn Participant Form

Travelearn Participant Form Travelearn Participant Form Travelearn Program Faculty Coordinator Name Dates of Program This form must be completed in full, and must be accompanied by the following documents: $150 Administrative Fee

More information

October 18, Listed below are the categories individuals can register for:

October 18, Listed below are the categories individuals can register for: PANHANDLE DISTRICT 1 4-H October 18, 2013 The District 1 4-H Program is pleased to announce an opportunity for county 4-H programs to have volunteers certified as coaches in shotgun, rifle, or archery.

More information

6. Waiver of Liability and Indemnification University Sponsored International Travel by Students

6. Waiver of Liability and Indemnification University Sponsored International Travel by Students 6. Please fill in the requested information as indicated in the GRAY areas. Print, sign, and submit the form to the International Travel Coordinator (ITC) no later than 7 weeks prior to trip departure.

More information

OVERSEAS PROGRAMS STUDENT AGREEMENT

OVERSEAS PROGRAMS STUDENT AGREEMENT OVERSEAS PROGRAMS STUDENT AGREEMENT I, (print or type name of Student), acknowledge that I have voluntarily applied to an overseas study program ( Program ) offered by the Santa Monica Community College

More information

2016 OUCI Chinese Bridge Summer Camp Application

2016 OUCI Chinese Bridge Summer Camp Application STUDENT INFORMATION Name (as it appears on your passport) Passport # Passport Expiration Date DOB Gender Cell Phone Email Address City State Zip PARENT/GUARDIAN INFORMATION Parent Phone Email Parent Phone

More information

Israel - Off The Beaten Path with Petra Extension (optional)

Israel - Off The Beaten Path with Petra Extension (optional) Israel - Off The Beaten Path with Petra Extension (optional) Israel - NOV 12-20 / Petra - Nov 20-24, 2017 Thus says the LORD: Stand by the roads, and look, and ask for the ancient paths, where the good

More information

If you plan to attend Campus Harvest, the cost is $ There is a non-refundable deposit of $55.00 that is due by Wednesday, February 25 th.

If you plan to attend Campus Harvest, the cost is $ There is a non-refundable deposit of $55.00 that is due by Wednesday, February 25 th. Dear Parents and Students, On the weekend of March 27-29, 2015 we are inviting all of our 10th - 12th graders to Raleigh, NC for the 25th annual Campus Harvest Conference with the theme, "Change the Campus,

More information

2019 Summer Band Camp

2019 Summer Band Camp 2019 Summer Band Camp The TEXAS A&M UNIVERSITY-KINGSVILLE SUMMER BAND CAMP provides high quality instruction to middle and high school students. The camp runs from Sunday, June 16 through Friday, June

More information

4-H SHOOTING SPORTS COACH CERTIFICATION TRAINING

4-H SHOOTING SPORTS COACH CERTIFICATION TRAINING TEXAS 4-H YOUTH DEVELOPMENT September 10, 2015 MEMORANDUM TO: FROM: SUBJECT: 4-H Shooting Sports Coach Candidates Laura A. Huebinger Extension Program Specialist 4-H Youth Development 4-H SHOOTING SPORTS

More information

Field Trip Forms and Procedures

Field Trip Forms and Procedures EAST SIDE UNION HIGH SCHOOL DISTRICT Instructional Services Division Julianna Arreola Administrative Secretary Phone: 347-5061 FAX: 347-5065 Email: arreolaj@esuhsd.org Field Trip Forms and Procedures Student

More information

Personal Finance Summer Institute for College Readiness Application Instructions:

Personal Finance Summer Institute for College Readiness Application Instructions: Personal Finance Summer Institute for College Readiness Application Instructions: Complete all fields in the Summer Institute Application (pages 2-6), print, and sign. Please print clearly or type. Make

More information

Blue Zone Yoga. Paros, Greece Sept 30 Oct 7, 2018

Blue Zone Yoga. Paros, Greece Sept 30 Oct 7, 2018 Blue Zone Yoga Paros, Greece Sept 30 Oct 7, 2018 Trip Participant Agreement Terms and Conditions Name: Mobile: Home Phone: Address: City: State: Zip: E-mail: Emergency Contact: Relationship: Phone: Medical

More information

Travel to Iceland Registration Form

Travel to Iceland Registration Form Travel to Iceland Registration Form June 24 June 29, 2019 Please complete all six pages of this registration form and agreement and retain a copy for your records. One form for each individual passenger

More information

2018 Summer Band Camps

2018 Summer Band Camps 2018 Summer Band Camps The TEXAS A&M UNIVERSITY-KINGSVILLE SUMMER BAND CAMP provides high quality instruction in the areas related to school band programs. Campers choose from one of three camp options:

More information

Malibu Jewish Center and Synagogue. with Rabbi Judith HaLevy & Cantor Marcelo Gindlin. $3,300 per person for land package based on double occupancy

Malibu Jewish Center and Synagogue. with Rabbi Judith HaLevy & Cantor Marcelo Gindlin. $3,300 per person for land package based on double occupancy with Rabbi Judith HaLevy & Cantor Marcelo Gindlin $3,300 per person for land package based on double occupancy Please note that cancellations may result in land and/or air penalties and vary with each

More information

California Parks June 18-23, 2018 By Appleseed Expeditions

California Parks June 18-23, 2018 By Appleseed Expeditions California Parks June 18-23, 2018 By Appleseed Expeditions Who is Appleseed Expeditions? With over 20 years of student travel experience, Appleseed Expeditions was birthed with a two-part vision. One,

More information

2015 LBSC Ski Club Week Trip Aspen, Colorado

2015 LBSC Ski Club Week Trip Aspen, Colorado 2015 LBSC Ski Club Week Trip Aspen, Colorado By Bob & Tara Shepard If you didn t see last month s July Ski Breeze, LBSC is going to Aspen, Colorado resort for their LBSC 2016 Week Ski Trip and will be

More information

Ten Thousand Waves Tours LLC 2019 REGISTRATION

Ten Thousand Waves Tours LLC 2019 REGISTRATION Ten Thousand Waves Tours LLC 2019 REGISTRATION MOUNTAINS & MONKEYS TOUR October 18 November 4, 2019 747,000 KYOTO, KYUSHU & THE KUMANO KODO November 7-25, 2019 848,000 TOKYO TIME extension between the

More information

TRIP COMMITMENT FORM India March 17 31, Emergency Contact Information $1,183 YES / NO

TRIP COMMITMENT FORM India March 17 31, Emergency Contact Information $1,183 YES / NO TRIP COMMITMENT FORM India March 17 31, 2019 Contact Information First Name: Last Name: Name As It Appears On Passport: Passport Information Number: D.O.B: Issued: Expires: Street Address: City, State,

More information

Travel to Jordan Registration Form

Travel to Jordan Registration Form Travel to Jordan Registration Form April 15 25, 2019 Please complete all six pages of this registration form and agreement and retain a copy for your records. One form for each individual passenger is

More information

COLLEGE OF CHARLESTON LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT (Domestic Travel)

COLLEGE OF CHARLESTON LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT (Domestic Travel) COLLEGE OF CHARLESTON LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT (Domestic Travel) 1. I, the undersigned student desire to participate in the following activity/trip ( Activity ),

More information

Individual Budget Request Form

Individual Budget Request Form Individual Budget Request Form Please complete this form outlining the request to be applied to your annual budget. Supporting documentation (i.e. hotel quotes, registration forms, travel costs, etc.)

More information

Travel to Scotland Registration Form

Travel to Scotland Registration Form Travel to Scotland Registration Form September 21 September 28, 2019 Please download and complete all six pages of this registration form and agreement and retain a copy for your records. One form for

More information

Personal Finance Summer Institute Application Instructions: Read all instructions carefully, incomplete applications will not be considered.

Personal Finance Summer Institute Application Instructions: Read all instructions carefully, incomplete applications will not be considered. Application Instructions: Read all instructions carefully, incomplete applications will not be considered. The 2017 will be June 26 June 30. Complete all fields in the Summer Institute Application. Print

More information

Beadventures Conditions, Responsibilities & Registration Form

Beadventures Conditions, Responsibilities & Registration Form Beadventures Conditions, Responsibilities & Registration Form Please review the following conditions and responsibilities associated with travel on a Beadventure before registering for a trip with Beadventures.

More information

HELPING TEENS THRIVE. Youth & Government CENTRAL YMCA

HELPING TEENS THRIVE. Youth & Government CENTRAL YMCA HELPING TEENS THRIVE Youth & Government CENTRAL YMCA LEARN MORE WHAT IS YOUTH & GOVERNMENT? Learn first-hand how our state government works not by watching, but by doing! Each September for six months,

More information

GENERAL RELEASE AND COVENANT NOT TO SUE THIS IS A GENERAL RELEASE AND WAIVER OF ALL LEGAL RIGHTS READ CAREFULLY AND UNDERSTAND FULLY BEFORE SIGNING

GENERAL RELEASE AND COVENANT NOT TO SUE THIS IS A GENERAL RELEASE AND WAIVER OF ALL LEGAL RIGHTS READ CAREFULLY AND UNDERSTAND FULLY BEFORE SIGNING GENERAL RELEASE AND COVENANT NOT TO SUE THIS IS A GENERAL RELEASE AND WAIVER OF ALL LEGAL RIGHTS READ CAREFULLY AND UNDERSTAND FULLY BEFORE SIGNING Name of Participant: (print) Program and Destination:

More information

February 23, Dear Prospective Exhibitor:

February 23, Dear Prospective Exhibitor: PO Box 608 (phone) 800-379-9292 (fax) 916-797-1512 (email) admin@acofpca.org (web) www.acofpca.org President Alesia J. Wagner, DO FACOFP 27722 Tambora Dr Canyon Country, CA 91351-2937 Immediate Past President

More information

COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program:

COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program: COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program: THIS FORM MUST BE SIGNED AND RECEIVED BY THE CENTER FOR INTERNATIONAL EDUCATION

More information

$2895 pps (single room supplement $575) Tour 2 Southern Elegance Ireland Tour 1- July 1st to July 8th incl. 2018

$2895 pps (single room supplement $575) Tour 2 Southern Elegance Ireland Tour 1- July 1st to July 8th incl. 2018 Tour 1 Legendary Ireland Tour- June 17 th to June 24th incl. 2018 $2895 pps (single room supplement $575) Tour 2 Southern Elegance Ireland Tour 1- July 1st to July 8th incl. 2018 $2895pps (single room

More information

TRAVEL REQUEST FORM 1 (TR1) REQUEST FOR APPROVAL OF LSC SPONSORED STUDENT TRAVEL

TRAVEL REQUEST FORM 1 (TR1) REQUEST FOR APPROVAL OF LSC SPONSORED STUDENT TRAVEL TRAVEL REQUEST FORM 1 (TR1) REQUEST FOR APPROVAL OF LSC SPONSORED STUDENT TRAVEL Program Name: Destination: Name(s) of LSC Employee Traveling with Group: LSC Employee(s) phone contact: - - or - - Budget

More information

JULY 13 17, 2016 EXPO APPLICATION

JULY 13 17, 2016 EXPO APPLICATION JULY 13 17, 2016 EXPO APPLICATION Dear Vendor, Mammoth Mountain Ski Area, LLC, and USA Cycling are pleased to present the USA Cycling Mountain Bike National Championships July 12 17, 2016 in Mammoth Lakes,

More information

2017 ISLANDER SOUND WAVES June 5-9, 2017

2017 ISLANDER SOUND WAVES June 5-9, 2017 2017 ISLANDER SOUND WAVES June 5-9, 2017 The Texas A&M University-Corpus Christi Sound Waves for Singers offers high school students the opportunity to come to the "Island University" for a week of music

More information

Continuing Education 5.0 CEU hours available by application (additional $25 fee). Submit requests with your application below.

Continuing Education 5.0 CEU hours available by application (additional $25 fee). Submit requests with your application below. and Director of Public Affairs/Alumni Relations Connie Nelson Page 1 of 6 July 16 th (Departure from U.S.) to 27th, 2017 COST $1600.00 per person, twin sharing. Add $700 for a single room Does not include

More information

II. III. STUDENT ORGANIZATION TRAVEL PROCEDURES

II. III. STUDENT ORGANIZATION TRAVEL PROCEDURES STUDENT ORGANIZATION TRAVEL PROCEDURES I. PURPOSE Casper College supports co-curricular student learning and encourages participation in student clubs/organizations. The College encourages student organizations

More information

Study Abroad Participant Agreement Assumption of Risk, Waiver of Liability and Indemnification

Study Abroad Participant Agreement Assumption of Risk, Waiver of Liability and Indemnification Standard Form Approved by the Lone Star College System Office of General Counsel Study Abroad Participant Agreement Assumption of Risk, Waiver of Liability and Indemnification I, (name of student) have

More information

Original Impulse P.O. Box Denver, CO 80203

Original Impulse P.O. Box Denver, CO 80203 Capture the Wow Registration Form September 7-12, 2017 Welcome to Capture the Paris Wow! I look forward to this creative adventure with you in Paris. In order to secure your place in the retreat, please

More information

FACULTY-LED STUDY ABROAD PROGRAM APPLICATION

FACULTY-LED STUDY ABROAD PROGRAM APPLICATION FACULTY-LED STUDY ABROAD PROGRAM APPLICATION Country of Study: Dates of Travel: I. PARTICIPANT INFORMATION Name: Street Address: City: State: Zip Code: Date of Birth: Passport #: Country of Citizenship:

More information

To officially sign up as a JDRF volunteer, clic k here.

To officially sign up as a JDRF volunteer, clic k here. Table of Contents Volunteer Job Descriptions On-Site Check in Process Volunteer Meal Tickets Hotel Discounts and Information Volunteer Waiver WELCOME Our JDRF Ride weekends would not be possible without

More information

TOUR PRICING (Based on the following group sizes: MAIN TOUR - Group of 16; Gobekli Tepe Extension - Group of 10)

TOUR PRICING (Based on the following group sizes: MAIN TOUR - Group of 16; Gobekli Tepe Extension - Group of 10) Andrea Mikana-Pinkham, Director 888 501-3853 (toll free in the US) or 928 284-1429 www.sacredsitesjourneys.com info@sacredsitesjourneys.com TURKEY: Ancient Temples & Sacred Sites of the Great Goddess September

More information

2017 Archer County 4-H White Tail Tune-up. 3-D & Field Archery Tournament. September 16, 2017

2017 Archer County 4-H White Tail Tune-up. 3-D & Field Archery Tournament. September 16, 2017 2017 Archer County 4-H White Tail Tune-up 3-D & Field Archery Tournament September 16, 2017 Where: Archer County Shooting Complex Archer City, TX 76351 (Please refer to map.) 8:00 AM Check-In & Equipment

More information

JULY 15 19, 2015 EXPO APPLICATION

JULY 15 19, 2015 EXPO APPLICATION JULY 15 19, 2015 EXPO APPLICATION Dear Vendor, Mammoth Mountain Ski Area, LLC, and USA Cycling are pleased to present the USA Cycling Mountain Bike National Championships July 14 19, 2015 in Mammoth Lakes,

More information

2018 Conference Information Packet Costa Rica November 12 16, 2018

2018 Conference Information Packet Costa Rica November 12 16, 2018 Costa Rica November 12 16, 2018 The country that truly has something for everyone from surfing to shopping, wildlife watching to white-water rafting, beach-lounging to golfing Costa Rica has it all! Our

More information

Tennessee Wesleyan University Volleyball Skills Camps

Tennessee Wesleyan University Volleyball Skills Camps Tennessee Wesleyan University Volleyball Skills Camps s: June 2 and June 9, 2018 at James L. Robb Gymnasium (204 E College St, Athens, TN 37303) (1:00pm-6:00pm, check in begins at 12:30pm) Cost: $75 per

More information

MARK YOUR CALENDARS: MAY 20-26, Washington D.C., Gettysburg, & New York Tour

MARK YOUR CALENDARS: MAY 20-26, Washington D.C., Gettysburg, & New York Tour MARK YOUR CALENDARS: MAY 20-26, 2017 Washington D.C., Gettysburg, & New York Tour United States Government Historic Monuments Arlington National Cemetery Gettysburg Battlefield The Big Apple All Checks

More information

Madrid, Spain & Lisbon, Portugal Registration

Madrid, Spain & Lisbon, Portugal Registration Madrid, Spain & Lisbon, Portugal Registration october 8-14, 2018 1451 s. olive avenue, west palm beach, fl 33401 / www.norton.org recommended arrival in madrid, spain: sunday, october 7 recommended departure

More information

Preliminary New York Choir and Band Trip Itinerary June 6-12, 2017

Preliminary New York Choir and Band Trip Itinerary June 6-12, 2017 Day 1 June 6, 2017 Preliminary New York Choir and Band Trip Itinerary June 6-12, 2017 Load bus at Montevideo High School (approx. 5:00 am) Depart on trip! Band and choir clinics at a location on the way

More information

MARK YOUR CALENDARS: MAY 21-27, Washington D.C., Gettysburg, & New York Tour

MARK YOUR CALENDARS: MAY 21-27, Washington D.C., Gettysburg, & New York Tour MARK YOUR CALENDARS: MAY 21-27, 2016 Washington D.C., Gettysburg, & New York Tour United States Government Historic Monuments Arlington National Cemetery Gettysburg Battlefield The Big Apple All Checks

More information

Indonesia. October Oct. 12th - Oct. 23rd. Includes: Pacific Wilderness, Inc. Diving & 2 Nights in Singapore!

Indonesia. October Oct. 12th - Oct. 23rd. Includes: Pacific Wilderness, Inc. Diving & 2 Nights in Singapore! Indonesia October 2017 $3,399 Includes Air, Diving & 2 Nights in Singapore! Join Us in October 2017 in beautiful Indonesia for another Dive Adventure! We ll dive North Sulawesi from the Tasik-Ria Resort

More information

BubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY

BubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY BubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY Name: Male: Female Address: Age City, State & Zip: Home Number: Email Address: Cell Phone: Shirt Size Vegetarian meal

More information

Hadassah Mission Registration Form

Hadassah Mission Registration Form Hadassah Mission Registration Form Kindly complete one registration form for each person traveling. Please refer to www.ayelet.com/hadassah.html for more information on particular Missions: Name of Mission:

More information

Holy Land Christian Ecumenical Foundation. With First Presbyterian Church of Boulder. April 27 May 8, days/ 11 nights REGISTRATION FORM

Holy Land Christian Ecumenical Foundation. With First Presbyterian Church of Boulder. April 27 May 8, days/ 11 nights REGISTRATION FORM To reserve your space on this unique pilgrimage, complete the form below, scan and email it to the Pilgrimage Department at pilgrimage@hcef.org. NAME(S) as they appear on passport Address Roommate (if

More information

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM REVISED 01/20/08 SIXTH ANNUAL AAU TRIPLE CROWN CLASSIC 2008AAU EAST COAST BENCH PRESS CLASSIC 2008 AAU MILITARY NATIONALS FULL POWER 2008 AAU MILITARY NATIONALS BENCH PRESS ENTRY DEADLINE: APRIL 20, 2008

More information

STUDENT APPLICATION, CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel)

STUDENT APPLICATION, CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) STUDENT APPLICATION, CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name: Gender: CofC ID: If not a CofC student, please list name of home institution: Local Address: Street

More information

Trip Participant Contract Seminole High School Pride of the Tribe June 3-10, 2019 France Trip*

Trip Participant Contract Seminole High School Pride of the Tribe June 3-10, 2019 France Trip* Trip Participant Contract Seminole High School Pride of the Tribe June 3-10, 2019 France Trip* Student Name Address City Zip Code Student Email Parent Name(s) Address (if different from above) City Zip

More information

Continuing Education Discovery College Registration Form

Continuing Education Discovery College Registration Form Continuing Education Discovery College Registration Form Select a Campus: LSC-CyFair LSC- LSC- LSC-Tomball LSC-University Park LSC-Creekside Center Legal Name of Child Lone Star College Camper ID (Last)

More information

BEARDEN HIGH SCHOOL BAND WALT DISNEY WORLD OCTOBER 10-14, 2014

BEARDEN HIGH SCHOOL BAND WALT DISNEY WORLD OCTOBER 10-14, 2014 WALT DISNEY WORLD OCTOBER 10-14, 2014 INCLUDED IN TRIP Roundtrip Motorcoach Transportation via Premier Transportation - Due to current affairs all chartered motorcoach costs are subject to fuel increases.

More information

PERU PILGRIMAGE, July 6 July

PERU PILGRIMAGE, July 6 July PERU PILGRIMAGE, July 6 July 20 2019 This sacred journey is designed to enhance your spiritual growth and deeper understanding of yourself through the teachings of the Divine Feminine and by opening your

More information

LIMITATION OF LIABILITY

LIMITATION OF LIABILITY The Swiss Alps Natural Balance Retreat ( the Retreat ) (including Limitations of Liability, Release and Waiver of Liability, Hold Harmless, Covenant Not to Sue, Assumption of Risk and June 19-26 th, 2016

More information

CALIFORNIA PAWNBROKERS ASSOCIATION

CALIFORNIA PAWNBROKERS ASSOCIATION 5 TH ANNUAL CALIFORNIA PAWNBROKERS ASSOCIATION NORTHERN CALIFORNIA SPRING CONFERENCE AC HOTEL SAN FRANCISCO AIRPORT/ OYSTER POINT WATERFRONT 1333 VETERANS BOULEVARD SOUTH SAN FRANCISCO, CA 94080 APRIL

More information

UCLA GRAD TRIP JUNE 27 - JULY 9, 2018

UCLA GRAD TRIP JUNE 27 - JULY 9, 2018 UCLA GRAD TRIP JUNE 27 - JULY 9, 2018 WHAT'S INCLUDED 12 nights hotel accommodation, twin-share or triple share 16 meals: 11 continental breakfasts, 5 dinners Modern, air-conditioned coach with charging

More information

Rock Band Pre-Camp Information Check In: Time: 11:00 12:00pm, resident and commuter campers Location: Arey Hall, 1024 W. Starin Road, Whitewater, WI

Rock Band Pre-Camp Information Check In: Time: 11:00 12:00pm, resident and commuter campers Location: Arey Hall, 1024 W. Starin Road, Whitewater, WI Rock Band Pre-Camp Information Check In: Time: 11:00 12:00pm, resident and commuter campers Location: Arey Hall, 1024 W. Starin Road, Whitewater, WI Check-Out: Time: 5:30-6:00pm Location: Arey Hall Important

More information

SKI CLUB SIGN-UP INSTRUCTION SHEET

SKI CLUB SIGN-UP INSTRUCTION SHEET SKI CLUB SIGN-UP INSTRUCTION SHEET Sign-Up Process Sign-ups are first come first-served on Monday, November 9 th in room 232 after 6 a.m. The final day to sign-up is Monday, November 23 rd. - All paperwork

More information

Visions Global Empowerment and Nazareth College Ethiopia Service-Learning Trip (December 2018 January 2019) VOLUNTEER APPLICATION FORM

Visions Global Empowerment and Nazareth College Ethiopia Service-Learning Trip (December 2018 January 2019) VOLUNTEER APPLICATION FORM Visions Global Empowerment and Nazareth College Ethiopia Service-Learning Trip (December 2018 January 2019) VOLUNTEER APPLICATION FORM ALL VOLUNTEERS Permanent Address Information: NAME: STREET: CITY:

More information

JAMZ 2017 HAYWARD SCHOOL CHEER & DANCE CAMP

JAMZ 2017 HAYWARD SCHOOL CHEER & DANCE CAMP JAMZ 07 HAYWARD SCHOOL CHEER & DANCE CAMP EVENT DETAILS WHEN: Tuesday, July th - Thursday, July 7th CAMP SCHEDULE: Coach Check-in: 9:00am (Tuesday) Camp Instruction: :00am - 9:00pm (Tuesday) 9:00am - 9:00pm

More information

SNOW TRIPPIN This is a competitively priced tour which will provide between students a week of a wonderful ski experience.

SNOW TRIPPIN This is a competitively priced tour which will provide between students a week of a wonderful ski experience. SNOW TRIPPIN 2013 23 November 2012 Dear Students / Parents / Guardians This is the first notice to parents of students interested in attending the 2013 Ski Trip. The trip is open to years 10-12. The tour

More information

Tractor Safety Certification

Tractor Safety Certification Tractor Safety Certification June 15, 16, 17, 2015 Monday - Wednesday 8:00 am 3:00 pm Amity High School 503 Oak Street Amity, Oregon 97101 What: Tractor Safety Training and Certification Course, sponsored

More information

Cooke County 4-H Open Invitational Archery Tournament

Cooke County 4-H Open Invitational Archery Tournament Cooke County 4-H Open Invitational Archery Tournament When: November 15, 2014 Where: 2201 W. Highway 82 Gainesville, TX 76240 Registration Fee: $20 $30 (non-texas 4-H members) Registration Deadline: November

More information

TOUR PRICING. NOTE: Sacred Sites Journeys tours are smoke-free. E-cigarettes are allowed.

TOUR PRICING. NOTE: Sacred Sites Journeys tours are smoke-free. E-cigarettes are allowed. Sacred Sites Journeys A Division of Heartlight Fellowship Andrea Mikana-Pinkham, Director PERU: Ancient Mysteries of Machu Picchu, Cusco & the Sacred Valley of the Incas June 4-13, 2017 Post-Tour Extension

More information

STUDY ABROAD WAIVER OF LIABILITY, INDEMINIFICATION, AND MEDICAL TREATMENT AUTHORIZATION AGREEMENT

STUDY ABROAD WAIVER OF LIABILITY, INDEMINIFICATION, AND MEDICAL TREATMENT AUTHORIZATION AGREEMENT STUDY ABROAD WAIVER OF LIABILITY, INDEMINIFICATION, AND MEDICAL TREATMENT AUTHORIZATION AGREEMENT I,, desire to participate voluntarily in the Study Abroad Program, West Texas A&M University, described

More information

New York, August 2017 MODEL UN-UNESCO

New York, August 2017 MODEL UN-UNESCO MODEL UN-UNESCO EDUCATION AND UNITED AMBASSADORS MUN YOUTH ASSEMBLY New York, 18-25 August 2017 UN Security Council and Peace Education 18-20 August,2017 World Bank and Economic Education 21 August 2017

More information

Presents. TPR s Australia 2011 Trip! TPR Invites you to go Down Under with us to Australia! Details below

Presents. TPR s Australia 2011 Trip! TPR Invites you to go Down Under with us to Australia! Details below Presents TPR s Australia 2011 Trip! TPR Invites you to go Down Under with us to Australia! March 26 th April 4 th, 2011 Details below TPR s 2011 Australia Trip includes: Ground Transportation via bus starting

More information

INTERNATIONAL TRAVEL PROGRAM

INTERNATIONAL TRAVEL PROGRAM 1973 Edison Drive Piqua, OH 45356 INTERNATIONAL TRAVEL PROGRAM Acceptance, Release, Assumption of Risk and Waiver of Liability I, the undersigned ( Participant ), have been approved to participate in a

More information

Ivy Tech Community College

Ivy Tech Community College Ivy Tech Community College POLICY TITLE International Travel for Faculty/Staff POLICY NUMBER ASOM 7.15 PRIMARY RESPONSIBILITY Academic Affairs CREATION/REVISION/EFFECTIVE DATES Created July 2013/Effective

More information

Charter Oak Gymnastics Winter Camps 2018

Charter Oak Gymnastics Winter Camps 2018 Charter Oak Gymnastics Winter Camps 2018 Week 1: December 26th 28th Week 2: January 2nd 4th Gymnastics! Have Work? Zip Line! Need To Do Shopping? Crafts! Have Too Much To Do? Games! Snacks! And MORE!!

More information

Charter Oak Gymnastics Winter Camp 2016

Charter Oak Gymnastics Winter Camp 2016 Charter Oak Gymnastics Winter Camp 2016 Week 1: December 26th-30th We may host 2nd week of Camp if enough families are interested January 2nd-6th Prices: Half Day $108 per week Full Day $178 per week Extended

More information

Tractor Safety Certification

Tractor Safety Certification Tractor Safety Certification June 16-18, 2014 Monday - Wednesday 8:00 am 3:00 pm Amity High School 503 Oak Street Amity, Oregon 97101 What: Tractor Safety Training and Certification Course, sponsored by

More information

Pitcher & Powell International Cuisines and Culture Application Form 2016

Pitcher & Powell International Cuisines and Culture Application Form 2016 Pitcher & Powell International Cuisines and Culture Application Form 2016 In order to secure your place in the course, please follow the steps (1) through (5) below. Please use one registration form per

More information

SAMI Conference Dear SAMI Families and Students,

SAMI Conference Dear SAMI Families and Students, www.tsami.org SAMI Conference 2018 Dear SAMI Families and Students, The Science and Math Institute is a learning community. Whatever else we may be or try to accomplish, this is where we begin. We take

More information

TEXAS A&M INTERNATIONAL UNIVERSITY

TEXAS A&M INTERNATIONAL UNIVERSITY AGREEMENT FOR WAIVER, INDEMNIFICATION, ASSUMPTION OF RISK AND MEDICAL TREATMENT AUTHORIZATION I,, age, desire to participate voluntarily in all activities of the ( Activity ), which is sponsored or conducted

More information

Pre Health Professions Conference Saturday, March 4, Registration Form Spots are limited and on a first come first serve basis

Pre Health Professions Conference Saturday, March 4, Registration Form Spots are limited and on a first come first serve basis Office of Diversity and Inclusion Pre Health Professions Conference Saturday, March 4, 2017 Registration Form Spots are limited and on a first come first serve basis Please Note: Registration is not complete

More information

University of Rochester Elite Girl s Lacrosse Camp

University of Rochester Elite Girl s Lacrosse Camp University of Rochester Elite Girl s Lacrosse Camp University of ROCHESTER welcomes you Date: Saturday August 8, 2015 thru Sunday August 9, 2015 Time: Check-in: Saturday August 8 Resident Campers: 1:00-3:00

More information

8:00 am 3:30 pm Tuesday-Friday

8:00 am 3:30 pm Tuesday-Friday 8:00 am 3:30 pm Tuesday-Friday Attend Youth Fashion Week this Summer! The only summer camp designed to take you on a 4 day exploration through the Fashion Industry. The event will be held at the Ft. Bend

More information

TERMS and CONDITIONS

TERMS and CONDITIONS Jack Graham Photography Workshops, Fuji X Photo Workshops & Ultimate Photo Workshops REGISTRATION & ACKNOWLEDGE of RISK FORMS Including TERMS and CONDITIONS Jack s Website Jack s Blog Email: jack@jackgrahamphoto.com

More information

Registration Form - Contract

Registration Form - Contract Contact information STUDENT OVERNIGHT TRIP Registration Form - Contract Student s first name Student s last name (as it appears on your Student ID) Address Postal code Telephone Cellphone you will be travelling

More information

Somervell County Horse Camp

Somervell County Horse Camp 25th Annual Somervell County Horse Camp June 3, 4 & 5, 2013 What is Horse Camp? This hands-on camp conducted by collegiate and professional horseman teaches functional horsemanship and improves horse training

More information

SIUE String Development Camp

SIUE String Development Camp SIUE String Development Camp July 15-19 th, 2019, Monday-Friday 8:30am-4:30pm Violin, Viola and Cello students Parents and Observers are welcome! Mikaila Seo, Camp Director Vera McCoy-Sulentic, Co-Director

More information

East-West Global Travel P.O. Box 601 Aurora, OH /

East-West Global Travel P.O. Box 601 Aurora, OH / East-West Global Travel P.O. Box 601 Aurora, OH 44202 800/562-2350 ewgt@windstream.net An Experiential Learning Tour Outline for Kent Roosevelt High School Rome and Sorrento, Italy March 22-30, 2019 Friday,

More information

Camp Tatanka Summer Camp Registration Form

Camp Tatanka Summer Camp Registration Form WTAMU and the City of Canyon Child s First Name Camp Tatanka Summer Camp Registration Form Camper & Parent s Information Last Name Grade Fall 2018: Age (on 1 st day of camp): Birth Date: / / M / F Child

More information

HIKE AND READ R e g i s t r a t i o n F o r m. C h e c k L i s t. H o n o r s C o l l e g e

HIKE AND READ R e g i s t r a t i o n F o r m. C h e c k L i s t. H o n o r s C o l l e g e R e g i s t r a t i o n F o r m Name Cell Phone E-mail Special Needs/dietary restrictions Hiking Preference (round trip mileage): Level I (3 Miles) Elev. Gain = 250 ft Level 2 (7 miles) Elev. Gain = 750

More information

Macy's American Express Card IMPORTANT TRAVEL NOTICES, TERMS AND CONDITIONS

Macy's American Express Card IMPORTANT TRAVEL NOTICES, TERMS AND CONDITIONS Macy's American Express Card IMPORTANT TRAVEL NOTICES, TERMS AND CONDITIONS Air Privileges Air Privileges is provided by ALTOUR. Lowest available fare refers to the lowest published airfare at time of

More information

Exhibitor Prospectus

Exhibitor Prospectus Exhibitor Prospectus North Carolina Society of Eye Physicians and Surgeons 2019 Annual Meeting September 6-8, 2019 Omni Grove Park Inn Resort & Spa Asheville, NC North Carolina Society of Eye Physicians

More information

The Orpheum Theatre Group Goes to London! West End Theatre Tour: February 19-25, 2018

The Orpheum Theatre Group Goes to London! West End Theatre Tour: February 19-25, 2018 The Orpheum Theatre Group Goes to London! West End Theatre Tour: February 19-25, 2018 Itinerary Day 1 February 19, 2018 Arrive in London and meet your coach and tour escort for transport from the airport

More information