Registration Form

(Please print clearly and fill in all information in order to put your child in an appropriate group)

 

Kids' Dig: _____ June 12-13, _____ July 10-11, _____ August 7-8

Teens' Dig: _____ August 14-15

Child's Name First: ___________________________Last:___________________________________

Parent/GuardianName:_______________________________________________________________

Address:_____________________________________________________________________________

City:_______________________________________ State:_________________Zip:_______________

Telephone (Area code first): ______ - ______ - ______ Age of participant: ______ Gender:_____

If you would like your child in a group with another participant, please write the child's name here.

_________________________________________________________________________________

Optional items available for purchase at The Wyoming Dinosaur Center Gift Shop (reserve your item now by circling it, pay at the time of the dig):

Tool kit - Basic (knife, brush) $15 ___

Tool kit - Deluxe (knife, brush, rock hammer, safety glasses) $50 ___

Kids' Dig T-shirt (circle one: Youth sizes = S - M - L - XL) $9.95 ___

Teens' Dig T-shirt (circle one: Adult sizes = M - L - XL) $9.95 ___

TOTAL ______

        __Check/money order. Please make checks payable to  The Big Horn Basin Foundation.
         __Visa/MC:#: ____________________________Exp.: ________

        Signature: ________________________________________________

 

Send to: Kids’ / Teens' Dig 2001,

P.O.Box 71

Thermopolis,WY 82443