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*First Name

*Last Name

*Date of Birth

*Permanent Address

*Telephone Number (including country code)

*Email Address

*Academic Institution

*Dietary Requirements (vegetarian, vegan, allergies, etc.)

Length of Field School course

Four weeks (3 credits) July 15 - August 9, 2019Four weeks (certificate) - July 15 - August 9, 2019Two weeks (July) July 15 - 26, 2019Two weeks (August) July 29 - August 9, 2019

Do you have any medical conditions that might need to be taken into account?

*Is your tetanus vaccine up-to-date?

If not, can you guarantee it will be by the beginning of the field school?

*Do you have current travel/medical insurance?

If not, can you guarantee you will have it by the beginning of the field school?

*Emergency Contact Information (please provide full details)

Prior Archaeological Experience (if any)

Reasons For Wanting To Participate In The Field School