Field Trip / Class Sign-Up Form
*** Field Trip Attendees MUST fill out this form for EACH trip attended. If you would like to help out in planning, scouting, leading, teaching, or have suggestions, please use the comment box at the end of this form.
Field Trip or Class Name *
example: "Saddle Mountain" or "Hamm Radio"
Your answer
Date of trip:
(Month, Day, Year)
Your answer
First Name *
Your answer
Last Name *
Your answer
eMail *
Your answer
Phone Number *
Your answer
Emergency Contact Name
Who should receive your rocks if we have to leave you at the site?
Your answer
Emergency Contact Phone
Your answer
List any dependents who will accompany you on this trip.
(Children, Spouse, etc. You will hold 100% responsibility for all children and depentents accompanying you.)
Your answer
Your Comments
(Suggestions, allergy information, etc..)
Your answer
Have you read, and do you understand and agree to the "Hold Harmless Agreement" required to attend MRGC Field Trips? *
Required
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This form was created inside of Maplewood Rock & Gem Club.