GEODE FEST

Registration
You can send your registration in anytime.
 

   thirteenth-Annual Geode Fest in Hamilton, Illinois
!  

September 22nd, 23rd and 24th, 2017

Chaney Creek Boat Access

HWY 96 North, Hamilton IL

Registration Information

The $20.00 registration fee (single person) or $30.00 family fee entitles you to 2 – hunts per day on Friday and Saturday, and 1 – hunt on Sunday morning. Some of these guided hunts are on private property, not normally open to the general public for geode hunting at any other time.

 

We will have portable restroom facilities available at the registration area, but not the collecting areas.

The guided hunts leave from the Chaney Creek Access Area parking lot just north of Hamilton at 8:am and return at 12:noon and leave again at 1:pm and return at 5:pm each day. There will be daily prizes awarded for the "Prettiest", "Most Unusual", "Largest", "Smallest", "Oddest", "Rarest", "Ugliest" and a couple other categories. The prizes will be given away at 5:30:pm each day at the Chaney Creek Access Area. We will have a separate 12 and under division, so the kids aren’t competing with the adults for the awards.

Please meet at the Chaney Creek Access Area parking lot

 

one hour prior to departure time to check in, find our group leader and leave at the appointed times. You will be responsible for your own transportation to and from the collecting sites, your own 5-gallon buckets, proper clothing, collecting tools, water, sunscreen, bug spray, etc. Tour guides will lead you to the sites and be available during the hunts. There are NO facilities on the hunting sites. The hunts will be held as scheduled, rain or shine. An additional fee of $20.00 / 5-gallon bucket of geodes kept will be assessed. The St. Francisville site fees are a flat rate of $.55/pound for anything you decide to keep.

We’re looking forward to having you to Hamilton for this exciting event ! ! !

Here is the registration form.

 REGISTRATION FORM

Twelfth-Annual Geode Fest : September 22nd, 23rd, 24th, 2017 Instructions: Please complete one Registration Form per individual or family, a Waiver Form, and return with payment to Address Below, or the Registration Table on the day of the event. There is an additional charge of $20.00 per bucket for each 5-gallon bucket of geodes collected from each site, or $.55/pound at St. Francisville, payable at the site at the end of each hunt. The registration fee entitles you to 2 hunts per day on Friday and Saturday and 1 on Sunday.

 

 

 

 

 Your Name: _______________________________________________

F
amily Member: _________________________________________ 

Family Member: _________________________________________ 

F
amily Member: _________________________________________

Family Member: _________________________________________


Mailing Address: ___________________________________________

Phone Number: ( ) ______________________________________

E-mail Address: ____________________________________________

Car License Number: ________________________________________

Rock Club Name (if applicable) _______________________________

 

Registration Waiver and Medical Release Form

In consideration in being allowed to participate in anyway in the 2017 Geode Fest in Hamilton, IL, which is sponsored by the Worthen Earth Searchers Rock Club and the City of Hamilton and its related events and activities. I and/or the minor participant, on behalf of my heirs, and myself assign, personal representatives, and next of kin, the undersigned:

 Assume all risk and accept responsibility for any damages due to injury, permanent disability, or death.

 Release, waive, discharge and covenant not to sue Worthen Earth Searchers Rock Club, or the City of Hamilton, its affiliated clubs, their administrators, directors, agents and other employees of the organizations, other participants, sponsoring agencies, sponsors, advertisers, their heirs, all which are hereinafter referred to as "RELEASES" from the demands, losses, on account of injury including death or damage to property caused or allegedly caused by in whole or in part by the negligence by the Releasee or otherwise.

 Thereby authorize and give my full consent to the Worthen Earth Searchers Rock Club and the City of Hamilton to copyright and/or publish any and all photographs and videotapes and/or film in which I appear while attending the Geode Fest. I further agree that the Worthen Earth Searchers Rock Club and the City of Hamilton may transfer, use or cause to be used, these photographs and videotapes and/or film for exhibition, public displays, publications, commercials, art, advertising purposes, and television programs without reservations or limitations.

 By signing this waiver and release, it’s understood that I/We have given up substantial rights by signing it, have not changed it orally and signed it voluntarily. This is to certify that I as a parent/guardian with legal responsibility of this minor participant(s), do consent and agree to his/her release as provided above of the Releasees, and, for myself, my heirs, assigns and next of kin. I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident of my minor child’s involvement or participation in this event as provided above, even if arising from their negligence.

 Main Registrants Name: _________________________________________

EVERYONE PARTICIPATING MUST SIGN WAIVER

Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________
Signature: ___________________________ Date: ___________________

Address: _____________________________________________________

Home Phone Number: ______________________

Emergency Phone Number: ___________________

Names of other family members in your group whom you represent and agree to waiver: _______________________________________________ 

Send the completed

Registration Form(s) - Waiver/Release – & Payment

 TO:
Geode Fest

C/O Mike Shumate

709 East County Rd. 1720

Nauvoo, IL 62354

217-219-2315 or email to mikeshumate@geodefest.org

 

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