BugCamp Application

BugCamp runs Monday through Thursday, 9am to 4pm, from June 25 through August 2. The course fee of $125 covers collecting equipment and two insect field guides. If you are interested in attending BugCamp, please fill out the application below. A parental signature on the application is required. Applications will be accepted up until May 1, 2001. Please do not include the course fee with your application - payment will be collected on the first day of class.

After completing the application below, please mail it to: BugCamp c/o Bill Ballard, Insect Division, The Field Museum, 1400 South Lake Shore, Chicago, Illinois 60605-2496.

Name:

Address:

Age:

School Attended:

Grade Number:

In 100 words explain why you would like to attend "BugCamp" (use a separate piece of paper).


Name, address, and telephone number of a reference (no relatives).

Name:

Address:

Telephone Number:

Relation to Applicant:

PARENTAL SIGNATURE:

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