Applicant Information
Background Information
Lodging and Food
Allergies
Please describe what the Applicant is allergic to and what the known reactions are.
Please list the name and dosage of any and all allergy medications. Participants with life threatening allergies are required to have allergy medication with them at all times.
Diet, Nutrition
Please describe any special restrictions.
General Health History
Check Yes or No for each statement. Explain Yes answers.
Has/Does the Applicant:Mental, Emotional, and Social Health
Check Yes or No for each statement. Explain Yes answers.
Has the Applicant:Medication
Other Pertinent Information
Please provide any additional information about the Applicant’s health that you think is important or that may affect the Applicant’s ability to fully participate in the Expedition program. Attach additional information if needed. Restrictions
Based on your personal statement of your health and health history, Burpee Museum reserves the right to request a statement of fitness for expedition participation from your attending physician.
Health-Care Providers
Medical Insurance Information
Daily Rates (Minimum of 3 Days)
General: $300/Day
Returning Participants/Students/Members: $275/day
Weekly Rates
General: $1500/5 Days
Returning Participants/Students/Members: $1300/5 Days
Application Notes
All applications must include a $400/Applicant deposit in order for the application to be reviewed. This deposit is non-refundable after April 15. The applicant will be notified by Burpee Museum, in writing or via email, of his or her selection to be a Burpee Expedition Participant. Once selected for participation an Applicant’s deposit is non-refundable. If Burpee Museum elects to cancel a session due to non-interest, the applicant will receive a full refund. An Applicant who is not selected to be an Expedition Participant will have their deposit refunded to them within 30 days of selection notification. Applications must be received and completed by April 30th to be considered for the Jurassic Journey Expedition to Hanksville, Utah. Payment must be made in full for the Jurassic Journey Expedition to Hanksville, Utah by April 30.
Check - Make checks payable to Burpee Museum. Include "Exp. Deposit" in Memo.
Questions may be directed to josh.mathews@burpee.org or burpee@burpee.org or calling Visitor Services 815-965-3433.