Wait List- Marine Technology: ROV Teacher Workshop 2018
Application to be placed on the waiting list for the 2018 Marine Technology: ROV professional development workshop at the Dauphin Island Sea Lab. Please complete the form below in its entirety. If a space becomes available, you will be contacted to confirm enrollment and collect the $100 registration deposit. Submission of this form does not guarantee that space will become available.
This workshop requires a pair of teachers to attend. In the event another STEM teacher is unavailable, an administrator or other interested person can attend.
Applying for enrollment in the following session *
1st Teacher Full Name *
Your answer
Preferred name
Your answer
Gender *
Home Address (Street) *
Your answer
Home Address (City, State, Zip) *
Your answer
County *
Your answer
Email Address *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
2nd Teacher Full Name *
Your answer
Preferred Name
Your answer
Gender Teacher 2 *
Home Address (Street) Teacher 2 *
Your answer
Home Address (City, State, Zip) Teacher 2 *
Your answer
County Teacher 2 *
Your answer
Email Address Teacher 2 *
Your answer
Home Phone Teacher 2
Your answer
Cell Phone Teacher 2 *
Your answer
Name of School / Institution *
Your answer
School Phone *
Your answer
Grade Levels Taught *
Your answer
Subjects Taught *
Your answer
School Address (Street) *
Your answer
School Address (City, State, Zip) *
Your answer
School Address (County) *
Your answer
Indicate any dietary restrictions, needs, or allergies, or any medical conditions or disabilities requiring accommodation (please list) *
Your answer
How did you hear about our program? *
Your answer
Upon submission, space will be held for 1 week to allow time for the $100 registration deposit to be made by mail or by phone. Submission of this form does not guarantee that space is available, but will be confirmed upon receipt.
All checks should be made payable to Dauphin Island Sea Lab and mailed to:
DHP Workshop
Dauphin Island Sea Lab
101 Bienville Blvd
Dauphin Island, AL 36528

Print this form BEFORE submitting. Upon submission, the form is no longer accessible to you. You can either print a hard copy of this form, or print to PDF in order to save for your records.

Program Information
This workshop is a field-based program that involves extensive outdoor activities. Discovery Hall Programs reserves the right to cancel the program in the event enrollment is inadequate. $100 registration deposit may be returned if notice of withdrawal is communicated to the DHP Registrar (in writing) at least seven days prior to the first day of the workshop, and we are able to fill your space. Please add sejohnson@disl.org and DHPSummer@disl.org to your email address book. Please retain a copy of this form for your records.
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