Membership Application:

Name:_________________________________________________

Address:_______________________________________________

City/State/Zip__________________________________________

Home Phone____________________________________________

Email Address___________________________________________

Business or (circle one) Non Profit Organization:___________________________________________

Address_______________________________________________

City/State/Zip__________________________________________

Phone ________________________________________________

Email _________________________________________________

Web Address___________________________________________

I have enclosed my membership fee as:

Check one

___Volunteer Member (vol hrs) $20____

___General Member $40____

___Honorable Waterway Steward- $80____

___Sponsor-$250

I would like to also attend other UD events

___Live from the Bottom of the Estuary

___Submerge Festival

___Gowanus Earth Day Flotilla Spring Clean-up

___Gowanus Oktoberfest

___Project AWARE International and Coastal Underwater Clean-up

___I am a diver and would like to volunteer on scientific diving projects.

__I am a non-diver and would like to become a certified diver and volunteer on conservation activities.

__I would to like to volunteer as waterway steward and monitor on UD boat on Gowanus/Newtown Creek Monitor Project and other places.

_ I would like to volunteer on flotilla clean-up

_ I would like to volunteer on marine ecology field trips and workshops

____I would like to make a greater contribution in the amount of __________

Eco-cruise Registration: ( Discover NY/NJ Harbor's Hidden Estuaries- copy and paste- fax 718-802-9874 or register by phone 718-583-5711-

Name:__________________________________

Organization: ( if applicable)

Address:_____________________________________________________

Email:___________________________________

Phone: day_____________________________Night_________________

How many members of your party will attend:_________________ ( add list of name of each invidual) here;__________________________________________________

Each participant will required to wear a life preserver: Please fill size appropriately: Size: SM_____________, Medium____________, Lrg____________ XL________ XXL_________, Children____________.

Eco-Cruise Destination: Gowanus Canal___, Newtown Creek___, Harlem River____, Coney Island Creek_____, Elizabeth River/Arthur Kill_____, Flushing Bay____, Jamaica Bay____, East River______, Bushwick Inlet______, Bronx River______, Hudson River ( GW to Tappenzee_____.

Date:__________________

( Please take the time to fill out this survey)

Age Group ( circle one)- 12-17______, 18-25______, 26-35______, 36- 50,_____ 50-102______

Gender: Male______, Female______, Other______.

Student_____MS, ____HS, _____College (Graduate),_____Undergrad, Other_______.

Teacher______MS_____HS,_____College , or Other________.

Journalist______, Scientist____, Civic Leader_____, Historian______, Artist_____ Business Owner___, Other________.

Home Owner___________, Renter_____________.

Do you live, work or go to school within 15 miles of the estuaries selected; site:___________________.

How long have you lived, or worked or went to school in the area?_____________

How you ever been on the estuary you have selected? List___________________

If yes; by Canoe_____________, Commercial Boat Tour_____________, Other Educational Tour_______, Walked to the waterfront, shoreline or pier________.

Do you swim______ fish______,dive_______, Canoe or Kayak on any of the estuaries listed. List________________________________________________.

Do you think the NY/NJ Harbor Estuary is: Healthy________, Heavily Polluted_________, Not bad_______.

What sort of public uses would you like to see more on the sites listed: Recreational Boating______,Fishing________, Canoing_________, Kayaking__________, Diving________, Swimming____________,Commercial Transport___________, Waterway Taxis___________, Mor Educational Cruises___________, Habitat Restoration_______________, Other_________________________________________________________________.

How is the public access to the water along the site listed: Please List and answer:

Good___________________________________, Fair_____________________________, Poor____________________________________, Very Poor__________________________, No Public Access_________________________.

UDEC's edcuational and public awareness eco-cruises are free to the public. You cna make a contribution by becoming a member and amke a tax deductible donation.You must register in advance. Space is limited. After you register, you will receive confirmation in the mail, time and meeting locations if not announced. Particpants under 16 must be accompanied by a parent or guardian. Copy paste and email.

If you would like to make a contribution or donate materials to The Urban Divers: Click here

(Please register at least two weeks in advance for all eco-cruises)

Copy, paste and email:urbandivers@urbandivers.orgYou will receive your confirmation by email or snail mail. or register by phone at 718-583-5711.

Thank You,

www.urbandivers.org