REEF Trip to Micronesia (Palau and Yap) Trip Registration Form

Thank you for joining the REEF Trip to Palau and Yap! Each participant on the trip should complete and submit this form. Please contact Amy (trips@REEF.org) with any questions.

Dates: Oct. 4-16, 2016 | Trip Leader: Christy Semmens, REEF Director of Science (Christy@REEF.org)

First and Last Name *

REEF Member Number

If you aren't sure, just let us know. We can look this up for you.

E-mail *

Phone Number *

Mailing Address *

Please provide the address where you would like us to mail your survey materials and t-shirt.

City, State, Zip Code *

Special Requests

Please let us know of any special requests, including food allergies, nitrox, DIN adapters, etc. Please note that nitrox is included for all participants on the Yap (Manta Ray Bay) portion of the trip, but is available upon request (for an additional fee) aboard the Palau Aggressor II.

What style t-shirt do you want? *

Women's V-Neck

Unisex Crew Neck

Do you need a large format REEF survey slate? *

Yes, please bring me a large format slate.

I already have a large format slate. You do not need to bring me one.

In addition to receiving a t-shirt, participants will be mailed some survey materials in advance, including a large format REEF slate (if needed), a piece of region-specific survey paper, and a South Pacific color id card. Christy will bring all survey paper for the trip.

CAPTCHA

This question is to confirm you are a human visitor and to prevent automated spam submissions.

User menu

Secondary navigation

Main menu

REEF Trip to Micronesia (Palau and Yap) Trip Registration Form