Marine Biology Class in Australia, June 10 - July 2, 2006
Agreement Form
Fill in all of the following fields:
Last Name First Name
Street Address
City State Zipcode
E-Mail Address
Home Telephone Bussiness Phone College where you will be registering for this program: Phoenix College Paradise Valley College
Choose one: I want to snorkle scuba
Choose one (if you have chosen scuba): I am scuba certified I would like to get scuba certified before the trip
You will be expected to do all of the following actions. Check any action that you have questions about or anticipate problems completing: