2014 Amazon Flooded Forest Expeditions May 2014 Expedition: May 11-26, 2014 Total cost, double occupancy cabin (does not include airfare) UHCL students who have completed the undergraduate or graduate Tropical Rainforest Ecology class (or will enroll May 2013) $3195 UHCL faculty, staff, Amazon trip alumni and other students $3495 Members of the community $3895 Single cabin additional cost (availability of single cabins is not guaranteed) $1000 Costs listed include double occupancy accommodations and meals aboard river vessel; field trips, crew and other tips, transfers, airport taxes and certain other meals. This fee is for the Amazon trip only and does not include airfare or UHCL tuition and fees for optional course or independent study registration. Participants must complete an information/health survey and may be required to pass a physical exam. Each participant must acquire the appropriate immunizations and provide a valid passport and Brazil visa. Additional costs may be required for passport, passport photos, visa applications, immunizations, beverages aboard the boat and personal souvenirs. Payment schedule (all payments by check to WILCYN NATURE) Application form and trip deposit: $600** Expedition #36 December 13, 2013 Airline tickets (on your own, credit cards may be used to airline) Payment #1: $1400 February 1, 2014 Payment #2: Balance due March 29, 2014 ** On a space-available basis; refundable only if participant's place on the trip can be filled from the waiting list Please make checks payable to WILCYN NATURE The Amazon River trip is open on a space-available basis for up to 21 participants. Early registration for the trip is advised and a waiting list will be maintained. Pre-trip meetings will be held at the University of Houston-Clear Lake (dates to be announced). For more information, please contact the trip leader, Dr. Cindy Howard UHCL Bayou Building, Suite 3525; telephone 281-283-3745; email howardc@uhcl.edu 2014 Amazon Flooded Forest Expedition APPLICATION FORM Please mail completed form with check or money order for deposit (payable to WILCYN NATURE) to Dr. Cindy Howard, UHCL, 2700 Bay Area Blvd., Box 186, Houston, TX 77058 Full Name (as on passport):_____________________________________________________________________ Address: ____________________________________________________________________________________ ____________________________________________________________________________________ Telephone: (Day) _______________________________ (Evening) ____________________________________ E-mail: _____________________________________________ Date of Birth: ___________________________ Passport number: _____________________________________ Date of expiration: _______________________ Status: _____ _____ _____ _____ UHCL graduate student Major: ________________________________ UHCL undergraduate student Major: ________________________________ UHCL Faculty or Staff Other (Affiliation: ___________________________________________) I AM REGISTERING FOR THE MAY 11-26, 2014 AMAZON TRIP ______ ____ I plan to enroll in BIOL 4035 or BIOL 5535 (rainforest ecology classes) during the Spring 2014 semester ____ I completed the UHCL Tropical Rain Forest Ecology course ______________________________________ semester / year ____ I will make my own airline reservations (Please send copy of itinerary to the trip leader) Requested cabin mate: ______________________________________________________________________ Request single cabin, if available ____(I acknowledge that there may be an extra cost for single accommodations) Special needs? _______________________________________________________________________________ (Dietary requests or restrictions, etc. ) (Note: this is a non-smoking trip.) UHCL Use only TRIP No. ___________ Date of receipt: Registration form: _______________ Deposit ($600): _______________ Visa: Group___Self___Previous___ Payment 2: Ck __ CC __ (airfare: ________) Visa application: _______________ Balance ($______________) _______________ Passport: _______________ Emergency Information Form: ______________ Copy of TX driver's license: _______________ UH Indemnity Form: _______________ Additional passport photo: _______________ Hazard / Release Form: _______________ Visa application fee: _______________ Action: _________________________________________ Date: __________________________ Comments: