Fort St. Joseph Archaeology Summer Camp Program 
Lifelong Learners and Educators 

July 27 - 31, 2020 

To apply, please fill out the form below or contact the Niles History Center for an application. Once your application is complete, we will contact you with more information. 

Applicant's Information 
Applicant's Full Name                                          Nickname                                                                      

Primary Phone                                                                          
Primary Email                                                                              

Emergency Contact Information: Names and phone numbers of two people to be called in the event that we cannot reach either parent/guardian. 

Emergency Contact Name                              Phone 

Emergency Contact Name                              Phone 

Additional Information 

Please note if there are any issues that may inhibit full participation in the camp. 

I understand and agree that my participation in the Fort St. Joseph Archaeology Summer Camp Program, due to photographic documentation of our findings and public events, may result in my, and any invited guests, picture being taken and published for promotional purposes.   Yes   No 

Would you like us to contact you about scholarship availability?  Yes      No 

Additional Forms   -  please sign the additional form and attach below