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.
School (If applicable)
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.

The program fee below is for one day specified above of our Shark and Ray Research Program. Participant acknowledges if they are under the age of 18 they MUST have a parent or legal guardian complete a waiver form before they can participate in the program.

Program FeeTrip Minimum is 3 and if the minimum is not met you will have the opportunity to reschedule or receive a full refund.

$149.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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.

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2026 Shark Scientist Discovery Program Registration Form