Sea Turtles 911

Sea Turtles are Endangered: Help!
   Chinese Language Immersion Program & Volunteer Opportunities

Volunteer Program: Registration Form

Joining our program is easy. Just follow the steps below to reserve your space today!
Step 1) Fill out the online registration form below.
Step 2) Pay the minimum deposit or your full program balance online.
A customer care representative will be in touch with you to confirm your reservation, and to send you more information about your program.
  * Fields marked by an asterisk must be completed.
* Last Name:   
* First Name:   
* Sex:   M      F
* Date of Birth:   
* Mailing Address:   
 Apt. or Unit No.:   
* City:   
* State/Region:   
* Zip / Postal Code:   
* Country:  
* Telephone:   
* E-mail:   
* Country of Citizenship:  
* Passport Number:   
T-shirt size:   
Name of school
(if applicable):		   
In case of emergency, who do we contact?
* Name:   
* Relationship:   
* Telephone:   
* E-mail:   
When would you like to start your Program?
* Program Start Date:   
* Number of Weeks:   
* Chinese Language Level:   
* How did you hear about our program?   
  
Are you on a special diet? Are there any foods that you do not eat? If yes, please specify:   
  
Do you have any allergies, disabilities or health problems? If yes, please specify:   
  
* Would you like to purchase travel insurance?
We provide emergency medical and travel insurance for $75.00. Insurance is mandatory; if you elect not to enroll in our insurance plan, you will be required to provide us with proof of international insurance before your trip.
Yes! I would like to register for travel insurance with Sea Turtles 911 for US$75.
No, I am choosing to decline insurance through Sea Turtles 911.
I am aware that sufficient coverage is mandatory and that I have to provide proof of insurance before my trip.
     
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