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Please fill out this form to make your initial reservation for the research participation program you wish to take part in. Once you submit this form, you will be contacted by phone and/or e-mail to complete your reservation and deposit.
Full Name
Street Address
City
State/Province/Region
AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming AS - American Samoa FM - Fed States of Micronesia GU - Guam MH - Marshall Islands MP - N Mariana Islands PR - Puerto Rico PW - Palau VI - Virgin Islands AA - Armed Forces Americas AE - Armed Forces AP - Armed Forces Pacific AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland & Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon None
Postal Code
Country or Territory
UNITED STATES AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA & BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA & HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS ISLANDS COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD & MCDONALD ISLANDS HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, NORTH KOREA, SOUTH KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR ROMANIA RUSSIA RWANDA S. GEORGIA & S. SANDWICH ISLS. SAINT KITTS SAINT LUCIA SAINT VINCENT & THE GRENADINES SAMOA SAN MARINO SAO TOME & PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA ST. HELENA ST. PIERRE & MIQUELON SUDAN SURINAME SVALBARD & JAN MAYEN ISLANDS SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TOKELAU TONGA TRINIDAD & TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS & CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM U.S. MINOR ISLANDS URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, US WALLIS & FUTUNA ISLANDS WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE
Email Address
Please Confirm Email Address
This helps STC ensure your correct email address for confirmation.
Subscribe to Sea Turtle Talk,STC's E-Newsletter?
Yes (STC will not share your email address)
Age at time of Participation
Daytime Phone
Occupation / Profession
Where Did You Hear About STC?
Please specify:
Select your program: Select from the following programs - Leatherback Sea Turtle Program (March - May) Green Sea Turtle Program (June - October) Spring Birds of Tortuguero Program (March - May) Fall Birds of Tortuguero Program (July - October) Leatherback & Spring Bird Combo Program (2 week min. March - May) Green & Fall Bird Combo Program (July - October) Select your preferred accommodations: Select from the following accommodations - STC Dormitory (bunk beds, 6 people per room) STC Scientist Residence (private bedroom & bathroom) Eco-Lodge (off site accommodations) Select your preferred duration of participation: Select from the following durations - 1 week Program 2 week Program 3 week Program Other (provide details under "additional information") Please indicate the preferred session dates for your desired program (for turtle/bird combo please select dates under Bird Research):
2013 Sea Turtle Research
2013 Bird Research
Leatherback Turtle March 30 - April 7 April 6 - 14 April 13 - 21 April 20 - 28 April 27 - May 5 May 4 - 12 May 11 - 19 May 18 - 26
Spring Bird Program March 16 - 24 March 23 - 31 March 30 - April 7 April 6 - 14 April 13 - 21 April 20 - 28 April 27 - May 5 May 4 - 12 May 11 - 19
Green Turtle June 22 - 30 June 29 - July 7 July 6 - 14 July 13 - 21 July 20 - 28 July 27 - August 4 August 3 - 11 August 10 - 18 Aug 24 - Sept 1 Aug 31 - Sept 8 September 7 - 15 September 14 - 22 September 21 - 29 Sept 28 - Oct 6 October 5 - 13 October 12 - 20 October 19 - 27
Fall Bird Program July 13 - 21 July 20 - 28 July 27 - August 4 August 3 - 11 August 10 - 18 Aug 24 - Sept 1 Aug 31 - Sept 8 September 7 - 15 September 14 - 22 September 21 - 29 Sept 28 - Oct 6 October 5 - 13
Please list below the name of any additional people in your group: (If more than four people in your group, please list in the "Additional Information" box below.)
Second Person:
Email: Age at time of participation:
Third Person:
Additional Information:
Please type in number you see above: