Application Form

Get ready for the experience of a lifetime. We’re excited to
change the world with you! Please fill in the application below.
Upon clicking submit you’ll be asked for a deposit of $250 to secure your spot. If you are need of a hard-copy application, please call our office.

Students Educators Adult/Family

I/We have read, understand and agree to abide by the application guidelines, payment schedule, late fees, and cancellation policy. I/We also give EPI permission to use my/our name, address and picture in promotional materials and press releases.

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Participant Information

Full Name Preferred Name

Address

Email

Phone (Home) Phone (Cell)

Birth Date Citizen of

Sex

Have you participated in an EPI course before?

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Additional Traveler from the same household

Full Name Preferred Name

Email Phone (Cell)

Birth Date Citizen of

Sex

Have you participated in an EPI course before?

T-Shirt Size

Course Registration Indicate your course location and start date

Standard berth: Whale Watch in the Sea of Cortez, April 3-12, 2010 Deluxe berth: Whale Watch in the Sea of Cortez, April 3-12, 2010 Island Hopping in Galapagos, March 20-31, 2010 Island Hopping in Galapagos, April 17-28, 2010 Sea Turtles and Rainforests in Costa Rica, various dates in April and May, 2010

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Conservation for the next generation A nonprofit organization

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“EPI is a pioneer in educating citizen naturalists who understand peace among all peoples is the wellspring for a sustainable planet.” Tom Roy, Director Emeritus, Environmental Studies program at the University of Montana