Home School Days Registration Form

Contact Information

Please fill out all applicable information.

Contact Person Name:
Address:
City:
State:
Zip:
County:
Home School Group:
Phone:
Email Address:
Number of Students Attending:

Please check the activity(ies)/date(s) you are attending:

	Geology Rocks - January 22, 2013
	Native American Life – February 21, 2013
	Sustainability – March 25, 2013

COMMENTS
Please list the name(s), age(s) and grade level(s) for the student(s) attending the activity(ies) checked above, as well as any other pertinent information.

CONTACT SIGNATURE (Required for all registrations) I have read and understand the Oakes Museum of Natural History's policies as listed in the Guidelines for a visit to the Oakes Museum of Natural History. I will make ALL necessary parties aware of the policies of the museum as well.

Electronic Signature

Date

Public Hours

Admission Prices

Home School Days Registration Form

Contact Information


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