Registration Form for 2007 Michoacan, MEXICO Field Study
The Mexican Environmental & Cultural Research Institute (MEXECRI)
Field School Partnership between The University of Connecticut, MEXECRI and Central Washington University

Registration Form

First Name: Street Address:
Last Name: City: State: ZipCode:

Age: Participation is not permitted for students younger than 18.

I have the following degree:

My Degree is in Department / Major or I am currently finishing a degree in:


I have taken the following classes in Anthropology/Archaeology:


Email Address:
Please be sure that your email address is correct.

I am available to attend the two-week minimum stay for the field school during the following dates:

Is this your first travel experience to Mexico?


Explain why you would like to participate in this field school. Provide details about previous experiences in Mexico,
coursework regarding the history and or archaeology of Mexico and your language skills (130 words or less):

A non-refundable registration fee of $50 must be paid by Friday, May 7th. If accepted, the balance of the fees must be paid by Tuesday, May 15th.


I already have my U.S. passport. Travel is not permitted outside the U.S. without a passport.
I have or will obtain travel insurance to cover my repatriation or medical expenses in Mexico before departure and I will provide proof of insurance.
I have obtained all of the recommended vaccinations according to the CDC and have read the State Department travel warnings for Mexico. I can provide proof of vaccinations.
My physician has certified that I do not have any mental or physical disabilities that would prevent me from hiking or participating in strenuous exercise at altitudes of over 8,000 ft. I can provide proof of my medical examination.


I will sign and submit a statement that all of the above information is true before participating in the MEXECRI 2007 Field School. I understand that my application will be cancelled if MEXECRI does not receive my application fee by Friday, May 7th. I understand that the balance of all fees must be paid by Tuesday, May 15th. After May 15th refunds are not possible. Payment will be accepted via credit card @ MEXECRI or check payable to MEXECRI. Mail to: 95A Fitchville Road, Bozrah, CT 06334.