Contact Information
Hello everyone!

Thank you for making your deposit of $200 for the 6 Day Gray Whale trip (if you haven't done so, now is a good time). In order to complete your reservation you need to please fill out the following information. Please keep in mind that there are two lodging options:

- The cost for the double occupancy includes two beds and is $1160 per person (2 individuals per room).

- If you would like a single room (subject to availability) it is an ADDITIONAL $225 (total cost $1385 per person).

Both your deposit and completion of this form is required to hold your reservation. If you have any questions, please contact occgraywhale2017@gmail.com so we can make this process easier for you.

Thank you!

Amount of Deposit *
Your answer
If a deposit was not made are you requesting to be put on the waitlist?
Full Name (as it appears in passport): *
Your answer
What is your Student ID # (if known):
Your answer
What is your complete address? (w/state & zip) *
Your answer
Email (please provide an email you check often): *
Your answer
Alternative email: *
Your answer
What is the best phone number to reach you? *
Your answer
Type of room: *
Name of person you would like share a room with (if you would like to share and do not name someone, our service provider will attempt to pair you with another participant).
Your answer
I would like a roommate; however, I will pay the single price if unavailable.
Is there anything else we should know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service