THE HAZOR EXCAVATIONS Application for the 2012 season

Name: Ms./Mr. (Circle)

 ___________________________________________________________________________________________________

Date of Birth: (day, month, year) ______________________________________________________________________

E-mail_______________________________________________________________________________________

Mailing Address: ______________________________________________________________________________

___________________________________________________________________________________________________

_______________________________ Zip Code:___________________________________________________________

Telephone: Area code _______________________________________________________________________

Number ___________________________________________________________________________________________

Passport or Social Security Number___________________________________________________________________

Profession: ________________________________________________________________________________________

I carry the following medical insurance* (Blue Cross etc.) _______________________________________________

_______________________________________ which will be valid in Israel during the entire period of my stay (a travel accident insurance is essential. You must bring the policy or a photocopy of it with you!).

Previous excavation experience (if any): list excavations and dates ______________________________________ ____________________________________________________________________

Options: Do you wish to register for the entire period of the dig (June 24-August 3)?

Yes ______ No _______. If "No": I wish to register for the period -

first session (June 24 - July 13) _____________

second session (July 15 – August 3) __________

* We recommend (but do not require) that applicants secure a physical exam before participating in the excavation.

I certify that my state of health permits me to participate in strenuous physical activity in bright sunlight and heat (as is normal in archaeological excavations).

Signed:________________________________

How did you hear about Hazor?

The Hazor Excavations in Memory of Yigael Yadin