DINOSAURS ROCK 

3-DAY UTAH DIG – June 27-29, 2010 

REGISTRATION FORM  

Spaces are filled on a first come first serve basis  

NAME 1) ________________________    

NAME OF OTHER FAMILY MEMBERS & AGES OF CHILDREN 

2)    _______________________  Age__________________________ 

3)    _______________________  Age __________________________ 

4)    _______________________ Age ___________________________ 

5)    _______________________  Age __________________________ 

MAILING ADDRESS _____________________________________________________  

CITY _________________________ STATE ___________________ ZIP __________  

TEL (day) _______________ TEL (eve) ______________CELL # __________________ 

E-MAIL  ADDRESS: ______________________________________________________  

• Waiver of Liability & Guidelines form must be returned with Registration Form 

DINOSAURS ROCK will forward contact phone numbers and meeting directions at least 2 weeks prior to the tour. 

_____ Please initial this space if I DO NOT want my name, mailing address and e-mail address to be shared with other participants  

• All payments payable by check to DINOSAURS ROCK 

• Fee is $699 per person, children 3 and under are free.  
             

Total # __________   x $699  =    I have enclosed  $_________________ 

DINOSAURS ROCK  

1 Penny Lane , Montebello, NY 10901   www.DinosaursRock.com  800-411-3466 info@dinosaursrock.com