Wait List- Marine DeTECHtives 2019
Form to be place on the waiting list for the 2019 Marine DeTECHtives camp. This camp is for students currently in grades 5-7. Please complete the form below in its entirety. No payment is due until a space becomes available, at which time you will be contacted and the first $50 registration payment will be due.
Applying for enrollment in the following session *
Required
Camper's Full Name *
Your answer
Preferred name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age
Your answer
Gender *
T-Shirt Size *
Home Street Address *
Your answer
Home City, State & Zip Code *
Your answer
County *
Your answer
Home Phone *
Your answer
Roommate Request
If you have a friend attending the same session, you may request to room together. Please list their full name. Rooms are double occupancy only, and we cannot accommodate requests for more than 2 people in a room.
Your answer
School Now Attending *
Your answer
Current Grade *
School Phone *
Your answer
Parent/Guardian Name *
Your answer
Parent Cell Phone *
Your answer
Parent Email Address *
Your answer
Parent Employer
Your answer
Employer Full Address (Street, City, State, Zip)
Your answer
Employer Phone
Your answer
Has this camper attended a DISL overnight camp before? *
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
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 Cost & Information
The cost of this program is $300 and includes tuition, room, meals, and lab fees. All costs are dependent on availability. The $50 registration fee is due to secure enrollment prior to May 1. The next payment of $100 is due with the camp release forms after May 1, 2019. A balance of $150 will be due at check-in the first day of camp. $100 tuition payment 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 camp. Please add sejohnson@disl.org and DHPSummer@disl.org to your email address book. Please retain a copy of this form for your records. No payment is due until a space becomes available.
Submit
Never submit passwords through Google Forms.
This form was created inside of Dauphin Island Sea Lab. Report Abuse - Terms of Service