Sign-up Form

Fill in the reservation form below and click the "Print" button at the bottom of the page when you have finished and wish to send it to your printer.

Mail the completed form along with your check made payable to "See Life Paulagics" to the address below:
     See Life Paulagics
     P.O. Box 161
     Green Lane, PA 18054

Please be sure to review our policies before signing up for any trip. Cancellation and liability policies can be reviewed on our Policies page. Some trips fill up early, so we suggest you contact us by phone or E-mail before mailing your form to guarantee your space.

Primary Participant Information

Enter the requested information for the person submitting this form.

Name

Street Address

City, State, Zip, Country

Daytime Phone Number

Evening Phone Number

E-mail Address

Trip Information

Enter the trip port and date this form is for, along with the total dollar amount being sent.

Port that Boat Leaves From

Trip Date

Total Amount (U.S. Dollars)

Emergency Contact Information

Enter the requested information for the person to be contacted in case of emergency.

Name of Emergency Contact

Phone Number

Additional Participant Information

If you have additional people that you are signing up, please fill in the requested information for each person. If they are family members and the information other than name is the same, just fill in the value with "(as primary)".

Name 1

Phone 1

E-mail 1

Name 2

Phone 2

E-mail 2

Name 3

Phone 3

E-mail 3

Name 4

Phone 4

E-mail 4

Name 5

Phone 5

E-mail 5

IMPORTANT: Please submit the above information separately for each trip!

Final Instructions

When we receive your check, we will send you a confirmation by e-mail or U.S. Mail. Please contact us if you do not receive a confirmation within one week of mailing your check.

Please review our policies prior to making your reservation. Please contact us if you have any questions at (215)-234-6805 or via e-mail at .

Our goal is to provide you with a fun, memorable, educational experience. Please feel free to send us feedback after your trip to tell us how we did. Send comments to .

We are always looking for good photos of the creatures we see on our trips, even the two-legged kind! If you'd like your photo to be considered for posting on our website, contact Paul Guris at . Photographers will, of course, be credited and retain all rights to their photographs.