SkipperOnlineReg

Date of survey requested:

Address

City

Is this a new address since your last survey?

YES

State / Zipcode

Home Phone

Work Phone

Cell Phone

Birth Date

Height

Weight LBS

Male

Female

Bow Registration #

Boating experience (list # of years, where, type of experience):

Boat Name

Can your vessel cruise at the standard survey speed of 10 knots (11.5mph)?

How many people, including yourself, can you safely carry in your boat to perform a survey?

LENGHT in feet

YES

Year of boat model

CODE of CONDUCT AGREEMENT: I understand that any physical interaction with, or other harrassment of any marine mammal, including Atlantic Bottlenose Dolphins, is in violation of the Marine Mammal Protection Act (MMPA) of 1972 and its ammendments to date. Any such violation, in addition to exposing me to criminal liability, can be detrimental to the dolphins and the scientific validity of the data collected. As a member of The Dolphin Project participating in this survey, I pledge to have no physical interaction with wild dolphins ot engage in any behavior defined or implied as harrassment by the MMPA.
I understand that alcohol and unlawful substances are prohibited and shall not be possessed nor consumed on any vessel involved in The Dolphin Project activities. All persons violating this policy are prohibited from participating on futire vessesl. To the best of my knowledge, the information provided on this form is complete and accurate..

DATE:

To prevent spamming of the information on this form, enter the letters and numbers you see below into the box beside them

Name

EMERGENCY CONTACT

Name

Phone

Seamanship Training

Boat Manufacturer

FUEL CAPACITY: Estimate the number of hours you could
survey at 10 knots with normal tankage before refueling:

Top speed/knots

Number of Life Preservers

Maximum body weight per person?

Maximum total body weight for boat?

I agree to this CODE of CONDUCT

Cabin cruiser

Open deck

Other

# Engines

H.P. Per Engine

Inboard

Outboard

Inboard/Outboard

Compass

Fire Extinquisher

Speedometer

LORAN

GPS

Radar

VHF Radio [required] Useful Range

Head. If checked, describe degree of privacy:

BOAT SAFETY INSPECTION: Your boat must be inspected by the U"S Coast Guard Auxiliary witin the last 12 months and display an inspection decal. A free courtesy examination of your boat can be obtained by contacting the USCG Auxiliary in your area.

My boat has been inspected within the past 12 months. Date of inspection:

I will have my boat inspected before the next survey:

BOAT LOCATION:

Boat is usually on trailer

Boat is usually moored

Marina location and/or address where boat is usually kept:

SMOKING:

I do not allow anyone to smoke on my boat

I smoke

I do not smoke, but will allow others to smoke on my boat

Additional comments about your boat:

ZONE CHOICES: Please enter your first five zone choices below - in order of preference. CORE ZONES must be covered before boats can be assigned to non-core zones. This maintains the reliability of our scientific data. If no choices are shown, we cannot match your boat to the most appropriate zone.
Choose your zones from the ZONE PAGE on this website..

Choice #1

TDP SKIPPER - BOAT OWNER
Registration & Information

Choice #2

Choice #3

Choice #4

Choice #5

click here to submit this form

NOTE:
REGISTRATION DEADLINE is 5 weeks prior to survey date of choice. You will be notified by email regarding your zone and team members
ELIGIBILITY:   Minimum age for survey participation is 18 years.
                      All participants on the survey boat must be TDP members and complete training.
                      Space aboard survey vessels is limited, so send your registrations early
                      A signed LIABILITY RELEASE must be sent if this is your first survey (go to 'FORMS' page)