Discovery Corps Application.

Print it out, fill it out, write a check and mail it in!

Name

Address

City

State                                                    Zip

E-mail

Date of Birth

Do you have any physical conditions that could require emergency care such as a heart condition, diabetes or food allergies?

Yes                   No                    If so, what?

Signature

Date

Place of Application

Please make your checks for $25, payable to;

Discovery Corps Inc.
@ Scott Davis
 

1201 N. Frost
Avoca, IA. 51521

 

Lewis & Clark Among the Indians