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2021 SCGS Field Trip Registration Form
2021 – 47th Annual Field Trip: San Jacinto and San Andreas Fault Zones
Dates: Friday (afternoon) October 8 to Sunday October 10, 2021
Campsite: Hurkey Creek Campground. We have group reservations for Friday and Saturday nights. If you wish to stay Sunday night as well, please make an individual reservation at 1-800-234-7272 or online at
Campground Amenities: flush toilets, showers, picnic tables, and fire rings. RV's are welcome; however, the campsite does not have hook-ups.
Address: 56375 CA Highway 74, Mountain Center, CA 92561
For those not wanting to camp, the nearby towns of Idyllwild and Mountain Center have hotels and private residences for rental.
The Fees for the 2021 South Coast Geological Society are as follows:
Regular Member: $130.00
Student Member: $75.00
Student Sponsorship: $100.00
The cost includes campsite on Friday and Saturday nights, dinner from Friday night to lunch on Sunday (6 meals total), beverages (beer, wine, soda and water), museum entry, field trip t-shirt, a printed road log, and the 2021 field trip guidebook.
South Coast Geological Society is a 501(c)(3) nonprofit organization which makes all donations to us tax deductible!
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Fee Information and Agreement
The Fees for the 2021 South Coast Geological Society Field Trip are as follows:
Regular Member: $130
Student Member: $75
Optional: Student Sponsorship $100 supports 1 student.
This cost includes campsite on Friday and Saturday nights, dinner from Friday night to lunch on Sunday (6 meals total), beverages (beer, wine, soda and water), museum entry, field trip t-shirt, a printed and spiral bound road log, and the 2021 field trip guidebook.
Regular Member ($130)
Student Sponsorship ($100)
T-shirt size (unisex sizes)
Total Fee to be Paid
I understand that I will have to pay for the field trip (via pay-pal, mail-in check, or at the meeting)
Method of Planned Payment
Mail-In Check (P.O. Box 10244, Santa Ana, CA, 92711)
PayPal (Invoice sent to my email)
SCGS Field Trip WAIVER
The participant is advised that dangers and hazards may include but are not limited to uneven ground, steep trails, poison oak, heat and cold stress, poisonous reptiles and insects, open flames, uncertain and possible extreme weather conditions, floods, earthquakes, road hazards, sun burn, and landslides on the SCGS field trip planned for Friday, October 8th to Sunday October 10th, 2021, and does hereby assume any and all risks involved in connection with the field trip and does hereby save and hold harmless SCGS, its volunteer officers and other participants, all claims, losses and damages (including attorney’s fees and any costs involved because of said claims) on account of injury, death, property damage, and inconvenience or loss of money due to delay that may arise, by reason of participant involvement in the field trip. Participant understands that they (the participant) are responsible for carrying their own medical and auto insurance.
I HAVE READ THIS AGREEMENT, I UNDERSTAND ITS CONTENT, AND INTENTIONALLY AND VOLUNTARILY SIGN THIS AGREEMENT.
Write Full Name
Emergency Contact Information
Please complete the emergency contact information for your safety.
Name of Emergency Contact
Phone Number of Emergency Contact
Please answer the following questions to the best of your ability.
What days do you plan to attend?
Will you be attending the Friday afternoon visit to the Western Science Center? (2:00PM)
Will you be attending the Friday night dinner? (6:30-7:30PM)
Are you willing to serve as a Team Leader to act as lead of a group of 10 vehicles, responsible to maintain space between vehicles to protect wildlife and ensure trash is picked up at each spot ?
Transportation - Driving a rental/personal vehicle
I HAVE a ride to the field trip
I NEED a ride to the field trip
I will be driving and can take ONE additional persons with me
I will be driving and can take TWO additional persons with me
I will be driving and can take THREE additional persons with me
I will be driving and can take FOUR additional persons with me
I plan on driving but am willing to join another carpool
Do you have First Aid or EMT training?
Can you bring an easy-up to the field trip?
Yes, I will bring my Easy-Up
A copy of your responses will be emailed to the address you provided.
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