VOYAGE OF THE BALANGAY SIGNUP SHEET

First Name:

Last Name:


Age:

Gender:


Street Address:

City/Municipality:

Province:


Home Phone Number:

Cellphone Number:

Email Address:


Port location of activities


Choose the activities that you wished to join.

Junior Coast Watch
Sea Scouts
Sea Safety/Maritime Conservation/Fishing Methods
Coastal Clean Up
Familiarization Visits
Lighthouse Preservation
Walk/Jog/Run
Open Sea Swimming Competition
On Board Study/Research