Follow the instructions below to register for the Creep into the Deep Program.

1. Please complete the form below to register. This information is needed for the WhaleTimes Business Office to process your registration. It will not be sold, given, or shared with anyone.

2. Send payment via PayPal or Snail mail. Information below. NOTE:  PayPal takes you to their secure website.

NOTE: This program is for classrooms and schools. It is not designed for individuals.  We reserve the right to refuse.

Cruise: January 8 to 19, 2011
 

1. First and last name:  

2. E-mail:                     

3. School Phone number:

4. School Name:           

5. Address,                  

6. City, state, zip code: 

7. Grade(s)  1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

8. Estimated number of students:

9. Number of classes:

10. Are you a specialty class? No Gifted and Talented Special Education English Second Languge Other

11. Additional posters: ($10 each)       

12. TOTAL amount due
    ($25 Enrollment in Creep into the Deep only; $45 Enrollment in Bold in the Cold, too, and any additional posters)
     

13. I am paying by:  PayPal Check Other   Poster(s) are mailed once payment is received.
     

14. NOTE: Any additional information, questions...etc

Poster(s) are mailed once payment is received.

Thank you for joining us on a virtual research mission to the deep-sea.

    

What's Next? Submit payment....

●PayPal (click on "donate" button below) NOTE: PayPal takes you  directly to the WhaleTimes donation page on their secure website.

●By check. Snail-mail a check made payable to WhaleTimes, Inc.