2025 Student Registration Form

2026 Shark Scientist Discovery Program Registration Form

Fill out the form carefully for registration
Name

First NameLast Name
If you are booking for a group, please list everyone's name who will be attending (max 6).
E-mail
example@example.com
Phone Number

Country CodeArea CodePhone Number
Age
Please list your age at the time you be participating in the program.
Emergency Contact (If the participant is under the age of 18 the emergency contact must be a parent or legal guardian)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School (If applicable)
Date Requested
Day Requested - All days operate from 10am-2pm on Saturdays and Sundays

MonthDayYear
Medical Restrictions
This is used for informational and safety purposes and will not affect your acceptance into the program.

My Products
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Individual Registration
This is for one person participating in our Shark Scientist Discovery Program. (There is a minimum of 4 people required to operate. If the trip does not reach that number you will be refunded in full)

$175.00 Quantity

Total

$0.00
By submitting this application you acknowledge you have read and understand our policy that there are no refunds unless the program is canceled by CMERA. Additionally, you acknowledge you will be required to sign a liability waiver to participate in any program activities.
Payment Methods

Choose from one of the PayPal options to make your payment.
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2026 Shark Scientist Discovery Program Registration Form