Be A Paleontologist For A Week!

Transcription

1 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 animals of the Late Cretaceous; excavate and collect actual dinosaur fossils; enjoy discussions with real paleontologists and geologists; participate in fun dinosaur activities; experience ranch life in the American West. When: June 20-26, 2009 Price: $1,625/Person $1,550/Person Science Center and AAA Members Deposit: $500/person at time of registration Fees Include: Airfare, lodging, ground transportation, three meals daily, fees and supplies, presentations and ranch activities. Non-flight options are available. Registrations must be received by April 30, University credit is available. For more information or to make reservations call or rgiesler@slsc.org. Tentative Itinerary Day 1 Days 2-6 Day 7 Arrive in Jordan, Montana. Learn to identify fossils in the field, explore the geology of the area and what the area looked like when the dinosaurs ruled the Earth, prospect and excavate dinosaur fossils. Breakfasts are at the local café, lunches in the field and dinners at a local ranch. Return to St. Louis.

2 Thank you for registering for the 2009 Paleotrek program. We are glad to have you aboard for this adventure. I ve enclosed a set of registration forms for you. Please complete and return to me at: Ron K. Giesler Saint Louis Science Center 5050 Oakland Ave St. Louis, MO You will receive information about the trip including flights, meals, lodging, items to bring and daily schedules through the mail 30 days before your program date. I also recommend the AAA Travel Protection Plan as our preferred travel insurance provider. You can call for more information. Again, thanks for participating in this exciting program and I look forward to meeting you. Sincerely, Ron K. Giesler Director of Travel Programs Saint Louis Science Center office mobile rgiesler@slsc.org

3 Paleotrek Registration Form Session: June 20-26, 2009 (16 and over) Name as it appears on your photo I.D. Address Birthday / / Home Phone Number ( ) - Work Phone Number ( ) - Cell Phone Number ( ) - Lodging Information All rooms are shared occupancy. A limited number of single rooms/cabins are available at extra cost on a first-come, first-served basis. Is there anyone specific you would like to room with? YES NO PRIVATE (additional fees apply) Please provide the name of the co-occupant(s)

4 Registration and Payment A $500 deposit is required upon registration if made before April 1, Full payment required for registrations after April 1, Please read the accompanying Travel Program Policies sheet for payment and refund policies. Method of Payment: Phone Registration--Full Payment/Deposit Already Made Check Number: (Make checks payable to Saint Louis Science Center) Credit Card: Visa MasterCard American Express Discover Credit Card #: Expiration Date Amount of Payment: $ Signature: Photo/Video Waiver I hereby give the Saint Louis Science Center full permission to use my image and/or voice in any photographs, slides, videos or other media gathered during the program as part of future public exhibits/publications (print or electronic) of the Saint Louis Science Center. Signature Date / / Program Policies I have read, understand and agree to comply with the enclosed Saint Louis Science Center's Travel Program Policies. Signature Date / / Personal Information I hereby give the Saint Louis Science Center permission to provide my address to other participants on this travel program only. No other use of my personal information is granted. Signature Date / / Additional Information Would you like to receive e-explorations, the Travel Programs electronic newsletter? Yes No

5 Paleotrek Participant Medical Form Name Birth Date Address Emergency Number ( ) - Contact Name: Relationship: Are you taking any medication regularly now? Yes No If yes, please list: Do you have any allergies (food, medications, insects, etc)? Yes No If yes, please list : Are you under a doctor s care for any condition now? Yes No If yes, please list condition, doctor s name and telephone number. ( ) - Do you have any physical limitations or restrictions? Yes No If yes, please list: Do you have a history of heart problems or other serious health concerns? Yes No If yes please explain: Do you have any dietary restrictions? Yes No If yes, please list: (We may not be able to accommodate all restrictions, but please call if you would like to discuss your dietary needs.)

6 Insurance Information I am covered by health insurance. Yes No If NO, please read and sign the information below to participate. If YES, please give the insurance information requested below so that we may provide this to the hospital in the event of an accident or illness. Insured Name: Health Insurance Carrier: Carrier s Address: Policy Number: ** PLEASE PROVIDE A COPY OF INSURANCE IDENTIFICATION CARD ** If you DO NOT have insurance, please read and sign the following statement: I understand that if I require medical attention or am hospitalized while participating in this travel, I am fully responsible for the immediate payment of any costs involved. Signature Date (Parent or Guardian Signature if Participant is under the age of 18)

7 Paleotrek RELEASE, WAIVER, DISCHARGE, COVENANT NOT TO SUE AND ACKNOWLEDGMENT This is a legally binding document executed by me,, in favor of and delivered to the St. Louis Science Center. As used herein, the St. Louis Science Center means and includes the St. Louis Science Center Subdistrict of the Metropolitan Zoological Park and Museum Tax District, a political subdivision of the State of Missouri, and the St. Louis Science Center Foundation, a Missouri not for profit corporation, and their respective governing boards, officers, employees and agents (collectively, the Science Center ). I recognize that there are dangers and risks to which I may be exposed by participating in the Paleotrek program (the Program ). The following are descriptions, by way of example only, of certain significant dangers and risks associated with the Program: dehydration, field work activity, injury and death. I understand that the Science Center does not require me to participate in the Program, but I wish to do so, and acknowledge the possible dangers and risks and, for such reason, I am executing this document in favor of the Science Center. Accordingly, I agree to assume all of the risks and responsibilities in any way associated with my participation in the Program and agree that the Science Center shall not be responsible for the acts or omissions of any person or provider which is not under the control of the Science Center, including, but not limited to, providers of transportation and accommodations. In consideration of the services, facilities and other assistance provided to me by the Science Center in connection with the Program, I hereby release the Science Center from any and all liability, claims and actions that may arise from any injury or harm (including, but not limited to, fatal injury) to me, or damage to my personal property occurring in connection with the Program. I understand that this release includes, without limitation, liabilities, claims and actions caused entirely or in part by the acts or omissions of the Science Center, including, but not limited to, the negligence or mistake of or failure to supervise by the Science Center. I recognize that this release means that I am surrendering, among other things, the right to sue the Science Center for any injuries, damages or losses which I may suffer or incur in connection with the Program. I also understand that this document shall bind my heirs, executors, administrators and assigns. I further acknowledge that the Science Center is not responsible for any act, omission or event which may occur at any time when I am not participating in an activity included in the description of the Program provided to me, as it may be altered from time-to-time by the Science Center. I recognize that all of my baggage and personal effects are at all times and in all circumstances at my own risk. I acknowledge that the Science Center is not responsible for the provision or cost of any medical treatment I may require during the Program for any reason whatsoever. The Science Center has encouraged me to assure that my health insurance covers me during the Program and has encouraged me to buy travel insurance. The Science Center will not have any liability regarding the provision of medical care or the adequacy of any medical care which may be rendered while I am participating in the Program. The Science Center will endeavor to secure adequate medical care for me as needed. I understand that there will be no refunds for available but unused portions of the Program caused by my health issues or by my voluntary failure to participate in such portions of the Program. I have read this entire document, I fully understand the document and I agree to be legally bound by this document. THIS IS A RELEASE OF MY RIGHTS WHICH I HAVE READ CAREFULLY BEFORE SIGNING. (Participant s Signature) Date (Parent or Guardian Signature if Date Participant is under the age of 18) (Print Name) (Print Name)

8 Saint Louis Science Center Membership Enrollment As part of your registration fees, you are provided with a one-year membership to the Saint Louis Science Center. Please complete the following membership application and return with your registration forms. Title: First Name: Last Name: Address: Country: Phone: Fax: I wish to receive future correspondence. Yes No For more information on our membership benefits visit

9 Eastern Missouri Society for Paleontology Membership form As part of your registration fees, you are provided with a one-year membership to the Eastern Missouri Society for Paleontology. Please complete the following membership application and return to Ron Giesler with your registration forms. Name: Address: City/State: _, Zip Code: Phone: ( ) -

10 Travel Program Policies Deposit and Payment To reserve a space with the Travel Programs of the Saint Louis Science Center, a $500 per person deposit is required at the time of reservation for this program. Full payment must be received 60 days before your program date. Refunds A full refund excluding a $200 administration fee is available if the cancellation is made more than 60 days prior to departure date. If the cancellation is made less than 60 days prior to departure date no refund can be issued. However, any deposits or payments can be applied to future trips. In the unlikely event that the Science Center finds it necessary to cancel a trip, a full refund will be provided. The Saint Louis Science Center reserves the right in its sole discretion to accept, decline to accept, or remove any participant from travel program if it is deemed that the actions of the participant endanger other program participants or creates undue hardships on the program as a whole. If a participant is removed from a program, they will be refunded the unused portion of their fees and, upon removal, all rooms fees, meals, transportation, airfare or other costs will be the responsibility of the removed participant. Room Rates All pricing is based on multiple occupancy rooms. A limited number of single rooms/cabins are available at extra cost on a first-come, first-served basis (single room supplement fee of $40 applies). Health You must be in good physical and mental health. Any physical condition requiring special attention, diet, or treatment must be reported on the registration forms. Activities will not be overly rigorous but participants should be ready to be active. The Saint Louis Science Center is ready and able to work with most abilities. Eligibility This program is limited to individuals 16 years old or older. Smoking Policy The Saint Louis Science Center is a smoke free institution and requires that there be no smoking in the vehicles for transportation or during group activities. Smoking is allowed in designated areas only.

11 Program Fees Program fees include all lodging, food, transportation (airline tickets only), ground transportation, supplies, guides, tours, and administrative fees. Options are available for those who wish to provide their own airline transportation. The following items are NOT covered by the program fees: Passport and visa fees Airline baggage charges Transfers and baggage handling for those not participating in group flights Cancellation and baggage insurance Optional excursions on planned free days Room service Movie rentals Gratuity Personal expenses, such as laundry, telephone calls, alcoholic beverages and any other items not specifically noted as included