R at Sea with Hadley Wickham

Please fill out the form below to register for the course running December 16-18, 2019

Name

Phone Number

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Date of Birth

Age should be 18 or greater

My pronouns are

Do you have any dietary preferences (vegetarian, vegan, etc)?

None
Vegetarian
Vegan
Other (if other please specify)

Do you have any allergic sensitivities?

Are there any other medical conditions, requirements, or other information our staff should be made aware of ahead of the course?

T-Shirt Size for complimentary field shirt

Rental gear

Snorkel gear
Would you like to rent snorkel gear (mask, snorkel, fin)?
$60.00 ea.
Add

Select a registration option to pay the course fees now

Registration Options

Includes room and board on Garvin for the duration of the course.

Scholarship Code

Credit card fee (does not apply if paying by check)

$49.50

Running Total

$1,699.50

Total

$1,699.50

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