2019 SCGS Field Trip Registration Form
2019 – 46th Annual Field Trip: Santa Barbara, California

Dates: Friday, August 9th to Sunday August 11th, 2019

Campsite: Sage Hill Group Campground (2 camps reserved with 50 person capacity each). Campground includes flush toilets, drinking water and paved roads. RVs ok, no hook-ups.

Address: 3505 Paradise Rd. Santa Barbara, CA 93105

The Fees for the 2019 South Coast Geological Society Field Trip are as follows:
Regular Member: $160.00
Student Member: $90.00
Non-Member: $190.00
Student Sponsorship: $70

The cost includes camp site fees, food from dinner on Friday night to lunch on Sunday and everything in between (6 meals total), field trip t-shirt, beverages (beer, wine, water, soda, juice), a printed Road Log book, and published 2019 Field Trip Guidebook.

South Coast Geological Society is a 501(c)(3) nonprofit organization which makes all donations to us tax deductible!

Contact us at scgs.mgmt@gmail.com

Email address *
Attendee Information
Please complete the questions below
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Address *
Your answer
Fee Information and Agreement
The Fees for the 2019 South Coast Geological Society Field Trip are as follows:

Regular Member: $160

Student Member: $90

Non-Member: $190

Optional: Student Sponsorship $70 supports 1 student.

This cost includes camp site fees, food from dinner on Friday night to lunch on Sunday and everything in between (6 meals total), field trip t-shirt, beverages (beer, wine, water, soda), a printed Road Log book, and a published 2019 Field Trip Guidebook.

Select *
Required
T-shirt size (unisex sizes) *
Total Fee to be Paid *
Your answer
I understand that I will have to pay for the field trip (via pay-pal, mail-in check, or at the meeting) *
Required
Method of Planned Payment *
Required
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, August 9th to Sunday August 11th, 2019, 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. *
Required
Write Full Name *
Your answer
Date *
MM
/
DD
/
YYYY
Emergency Contact Information
Please complete the emergency contact information for your safety.
Name of Emergency Contact
Your answer
Phone Number of Emergency Contact
Your answer
Miscellaneous Information
Please answer the following questions to the best of your ability.
What days do you plan to attend? *
Required
Will you be attending the Friday night BBQ? (7:00-8:00PM) *
Dietary restrictions *
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
Do you have First Aid or EMT training?
Can you bring an easy-up to the field trip?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.