Revive Program Booking Form

Revive Program Booking Form
Revive: Reef Restoration Program
- Unlock the secrets of coral restoration and become an advocate for marine conservation. This comprehensive citizen science program is designed for individuals passionate about protecting our oceans and eager to make a tangible impact on coral reef ecosystems. Participants will delve into the science, techniques, and community engagement aspects of coral restoration, gaining the base knowledge and skills necessary to contribute actively to reef rehabilitation efforts.
  
  Location: Bocas del Toro, Panamá
  
  Duration: 7 days
  
  Price: $699pp
  
  What's included?
  - Course materials
  - In depth and hands on experience from start to finish of our coral restoration process.
  - Boat fees
  - Boat snacks
  - MOC Course Completion Certificate
  - A place in our inner circle forever :)
  Schedule
  
  Day 1: Arrival and orientation
  
  Day 2: Check out dives; review of online course content completed before course re: corals and coral reefs.
  
  Day 3: Building artificial reef structures
  
  Day 4: Placing artificial reef structures at a coral restoration site.
  
  Day 5: Coral propagation and outplant
  
  Day 6: Monitoring
  
  Day 7: Overview, feedback and graduation
- Course Start Date
  
  MonthDayYear
  Date
- Name
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Birthdate
  
  MonthDayYear
  Date
- Passport Expiration Date
  
  MonthDayYear
  Date
- Include the names of the other people in your group, if applicable.
  blanksblank
- Dive equipment is available to rent for the duration of the course, please list your dive/snorkel equipment needs. (BCD = $40, Regulator = $40, Mask/Fins/Snorkel = $20). Tanks and weights are included.
- Any illnesses, injuries or allergies that we should know about?
- Dive Certification Level and Number of Dives Completed (all parties)
  *new or inexperienced divers will be required to arrive early and complete Open Water Certification, checkout dives and/or Peak Performance Buoyancy specialty course.
- How did you hear about Revive?*
- If you selected Other above, please specify:
- Terms & Conditions
  
  Deposits & Payments: Every Mother of Corals course requires an initial non-refundable deposit and the remaining balance payment which is due on the 1st of the month 30 days prior to your start date. Reservations are not guaranteed until a deposit is received. Failure to make any payment when due may result in a loss of reservation. MOC reserves the right to revise the payment schedule and/or prices associated with a reservation without prior notice for any reason, including unforeseen costs at the time of booking.
  
  Cancellation & Refunds: Upon cancellation of a participant's reservation for any reason, the refund of the deposit and payments made or due will be contingent upon MOC reselling the participant's reservation. Any refund is also subject to the following fees and conditions:
  
  *If the course is canceled by MOC due to not enough participants signed up, deposits will be returned.
  
  *Cancellation 60 days or more prior to the course start date - payment of any non-refundable fees;
  
  *Cancellation 59 days or less prior to course start date - forfeiture of the course deposit, plus $100 per participant cancellation fee and payment of any non-refundable fees;
  *Non-refundable fees include the course fee deposit.
  
  Unforeseeable Circumstances: Prevailing weather conditions or other unforeseeable circumstances may cause certain modifications to all or part of the original course schedule. No refunds will be given for such modifications, and any additional fees resulting from weather or other unforeseeable circumstances will be the participant's sole responsibility.
  
  Dive Experience: New or inexperienced divers will be required to arrive early and complete Open Water Certification, checkout dives and potentially the Peak Performance Buoyancy specialty course.
  
  Insurance: We highly recommend purchasing travel insurance; dive insurance is required (e.g. diversalertnetwork.org).
- Registration is pending until the deposit has been received.
  
  *Link to deposit form*
- Date
  
  MonthDayYear
  Date
- Signature
- Please verify that you are human*
- Should be Empty:

Revive Program Booking Form

Revive: Reef Restoration Program

Terms & Conditions