Exploring the Deep Ocean with NOAA: November 15, 2019
Please complete the form below in its entirety to enroll in "Exploring the Deep Ocean with NOAA." This workshop is being hosted at Southern Research in Birmingham, AL by Dauphin Island Sea Lab facilitators. The $50 registration deposit is due within 7 days of enrollment in order to secure your space. Submission of this form does not guarantee a space in this program.
Applying for enrollment in the following session *
I understand that this workshop is hosted by the Dauphin Island Sea Lab but is taking place in Birmingham, AL, NOT at the DISL campus. *
Full Name *
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Email Address (please list preferred and secondary) *
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Cell Phone *
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Home Phone
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Name of School / Institution *
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School Phone *
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School Street Address *
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School City, State, Zip Code *
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School County *
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Grade Levels Taught *
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Subjects Taught *
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Home Street Address *
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Home City, State, Zip Code *
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Home County *
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Indicate any dietary restrictions, needs, or allergies, or any medical conditions or disabilities requiring accommodation (please list) *
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Gender *
How did you hear about our program? *
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If you have previously participated in a "Why Do We Explore?" / "How Do We Explore?" or "Exploring the Deep Ocean" professional development, this offering will be redundant. *
Required
Submission of this form does not guarantee a space in the program. Space will be confirmed upon receipt of this form. The $50 registration deposit is required to finalize enrollment
All checks should be made payable to Dauphin Island Sea Lab and mailed to:
DHP NOAA 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. $50 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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