Wait List- Technology in Marine Science: ROVs Workshop 2019
Please complete the form below in its entirety to be placed on the waiting list for the 2019 "Technology in Marine Science: ROVs" workshop held at the Dauphin Island Sea Lab. 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. Please complete the form below in its entirety.The $100 registration deposit is not due unless a space becomes available.
Applying for enrollment in the following session *
1st Teacher Full Name *
Your answer
Preferred name
Your answer
Email Address (please list preferred and secondary) *
Your answer
Cell Phone *
Your answer
Home Phone
Your answer
Which number is best to contact you?
Home Street Address *
Your answer
Home City, State & Zip Code *
Your answer
Home County *
Your answer
Gender (for lodging assignment) *
2nd Teacher Full Name *
Your answer
Preferred name
Your answer
Email Address (please list preferred and secondary) *
Your answer
Cell Phone *
Your answer
Home Phone
Your answer
Which number is best to contact you?
Home Street Address *
Your answer
Home City, State & Zip Code *
Your answer
Home County *
Your answer
Gender (for lodging assignment) *
Name of School / Institution *
Your answer
School Phone *
Your answer
School Street Address *
Your answer
School City, State, Zip Code *
Your answer
School County *
Your answer
Grade Levels Taught *
Your answer
Classes Taught *
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. Payment can be mailed or paid with a credit card 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
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 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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