YOCS Application - National Aquarium

®
YOUTH OCEAN CONSERVATION
SUMMIT BALTIMORE
2015 Registration for High School Students
EMPOWERING THE NEXT GENERATION
OF OCEAN CONSERVATIONISTS
Around the world, our planet’s oceans and their inhabitants face
many challenges. As human impacts continuously threaten the
health of our marine ecosystems, both locally and globally, it is
imperative that we involve youth in a campaign to solve these
problems.
The Youth Ocean Conservation Summit (YOCS) was created
by Sean Russell in 2011 to provide youth participants the
YOCS APPLICANTS MUST:
•
•
•
•
Be currently enrolled in grades 9th-12th
Be able to attend the Youth Summit
independent of a parent/guardian
Have an interest in conservation,
environmental science/studies, or general
science
Pay $15 registration fee for the summit only
opportunity to learn from marine scientists and conservationists
or add an optional Behind the Scenes tour
and globally. This annual event also teaches participants about
included).
for a total fee of $20 (lunch and giveaways
about the current threats facing marine ecosystems, both locally
the ways other youth are currently working to protect marine
ecosystems, and then allows them to work with their peers to
develop action plans for their own ocean conservation projects.
Workshops offered at the summit allow participants to gain
the skills necessary to successfully implement conservation
projects, teach participants about career opportunities in marine
QUESTIONS?
•
Contact the Youth Ocean Conservation
Annapolis Team at YOCShelp@gmail.com
or 410-371-9802.
conservation, and expose them to opportunities they can take part
in to help protect our planet’s oceans and their inhabitants.
THANK YOU TO OUR SUPPORTERS:
Sean’s work spread last summer with the first satellite Youth
YOCS creator Sean Russell
Ocean Conservation Summit which was held on July 22, 2014
in Annapolis, MD in association with the National Marine
YOCS Team mini grant
Educators Association (NMEA) 2014 Conference and the
National Aquarium’s Aquarium on Wheels program.
Youth Ocean Conservation Summit 2015 | National Aquarium
REGISTRATION STEPS
1. Complete responses to questions that relate to why you would like to participate in the Youth Summit.
2. Submit completed registration by the April 6th application deadline.
3. Include payment for the registration fee of $15 for the summit only OR $20 for the summit plus
optional behind the scenes tour. Payment by check made out the National Aquarium, cash or money
order (lunch and giveaways included).
Participants will receive confirmation of participation by April 15, 2015. Space is limited. Spots filled on a first-come first-serve basis.
APPLICATIONS MUST BE POSTMARKED BY APRIL 6, 2015.
REGISTRATION FORM YOUTH OCEAN CONSERVATION SUMMIT
PROGRAM NAME: Youth Ocean Conservation Summit
DATE: April 19th, 2015
Name
Date of Birth Age Sex Height Weight
Address City State ZIP
Home Phone Student’s Phone
Student Email
School Current Grade
Have you ever participated in a National Aquarium program before? (Please circle one): Yes No
Program Year Program Year
Youth Ocean Conservation Summit 2015 | National Aquarium
REGISTRATION YOUTH OCEAN CONSERVATION SUMMIT
MEDICAL HEALTH INFORMATION:
Allergies, medical conditions, physical limitations, current medications, etc.:
Please give a brief but accurate description of your general health and weekly activity level:
I affirm that my health is good and that the above information is accurate and complete.
The undersigned acknowledges that he/she has read and fully agrees to the above. If the registration form is made for, or by, a person under age 18, it must also be
signed by the parent or legal guardian.
Signature of Participant Date
Parent/Guardian Signature Date
IN CASE OF EMERGENCY:
Parent/Guardian Name Cell Phone Work Phone
Second Contact Person’s Name Relationship Cell Phone Work Phone
PHOTO RELEASE AUTHORIZATION FORM
Participant’s Name
Photo Release: The National Aquarium and the Youth Ocean Conservation Team are permitted to take photos and videos and utilize it for its own purposes.
Student Signature
Parent/Guardian Signature
Youth Ocean Conservation Summit 2015 | National Aquarium
REGISTRATION FOR YOUTH OCEAN CONSERVATION SUMMIT
PLEASE ANSWER THE QUESTIONS BELOW TO THE BEST OF YOUR ABILITY:
1.
Why are you interested in participating in the summit?
2. Have you ever been to a youth summit or something similar? If so, briefly explain.
3. Do you have an action plan in mind within your community to help the environment? 4. What is the most important conservation issue that you feel needs to be addressed? Explain.
5. Would you like to participate in the optional $5* Behind the Scenes tour at the National Aquarium? (Please circle one): Yes No
*If you’re planning to participate, your registration fee will be $20 instead of $15
6. Will you be coming as part of a group? (Please circle one): Yes No
Group Name
* An action plan is something that you can do to help the environment.
Return completed application, recommendation
from a teacher and completed questions to:
PAYMENT:
TOTAL AMOUNT $
Youth Programs
National Aquarium
Education Department
501 East Pratt Street
Baltimore, Maryland 21202
APPLICATIONS MUST BE POSTMARKED BY APRIL 6, 2015.
CHECK
CASH
MONEY ORDER
REGISTRATION FOR YOUTH OCEAN CONSERVATION SUMMIT
DIRECTIONS AND PARKING:
National Aquarium
501 E Pratt Street
Baltimore, Maryland 21202
BY PUBLIC TRANSPORTATION:
aqua.org
Metro Subway: Shot Tower/Market Place Metro Station
(410) 576-3800
Light Rail: Convention Center and Camden Yards Light Rail
MARC Train: Camden Yards and Penn Station MARC stops
Bus: Bus Line Nos. 1, 7, 8, 10, 19, 61, 62 and 64
Amtrak Rail: Penn Station: 1500 N. Charles Street—only 1.06 miles from the Aquarium. Taxi and bus service are available from
the station, as well as the free Charm City Circulator.
Charm City Circulator: Fast, free and eco-friendly! The National Aquarium is conveniently located on the Orange Line of the
Charm City Circulator.
FROM POINTS NORTH VIA I-95:
1. Take I-95 South to Baltimore. Go through the right-hand tube of the Fort McHenry Tunnel (toll).
2. Once through the tunnel, take Exit 53, marked Downtown I-395 N.
3. Take the left fork (downtown) and stay in the center lane (becomes Howard Street). Stay straight. You will pass Camden
Yards on your left.
4. Make right onto Pratt Street (third traffic light). The Aquarium is eight blocks on right.
5. Park at convenient facility (see parking garage partner) or turn right into Gunther Circle for bus and motorcoach unloading.
FROM POINTS SOUTH VIA I-95:
1. Take I-95 North to Baltimore.
2. Take Exit 53, marked Downtown I-395 N.
3. Take the left fork (downtown) and stay in the center lane (becomes Howard Street). Stay straight. You will pass Camden
Yards on your left.
4. Make right onto Pratt Street (third traffic light). The Aquarium is eight blocks on right.
5. Park at convenient facility (see parking garage partner) or turn right into Gunther Circle for bus and motorcoach unloading.
FROM FREDERICK/HAGERSTOWN VIA I-70:
1. I-70 East to I-695 South (toward I-95/Glen Burnie).
2. Take I-95 North toward Baltimore.
3. Follow directions above for travel via I-95 North.
FROM PENNSYLVANIA VIA I-83:
1. Take I-83 South to Baltimore. Follow I-83 until expressway ends in Baltimore City.
2. Turn right on Lombard Street and stay in the left lane. (To park in Lockwood Place Garage, cross over Market Place and
enter the garage on the left.)
3. Turn left at Commerce Street and then turn left onto Pratt Street. The Aquarium is one block on the right.
4. Park at convenient facility (see parking garage partner) or turn right into Gunther Circle for bus and motorcoach unloading.
Youth Ocean Conservation Summit 2015 | National Aquarium
REGISTRATION FOR YOUTH OCEAN CONSERVATION SUMMIT
PARKING
Lockwood Place Garage
124 Market Place
Baltimore, MD 21202
If you are traveling east on Pratt Street toward the Aquarium, turn left onto Gay Street and enter Lockwood Place Garage on the right.
If you are traveling west on Lombard Street, cross Market Place and enter Lockwood Place Garage on the left.
Lockwood Place Garage is only a few steps from the Aquarium and has three convenient entrances on Gay Street, Lombard
Street, and Market Place.
For more options visit aqua.org/visit/baltimore/directions-parking
YOCS BALTIMORE 2015 SCHEDULE
8:30-9 am
Registration
9-9:45 am
Welcome from the YOCS team and Nancy Hotchkiss, Vice President of Visitor Experience and Education at the National Aquarium
9:45-10
Game Session break
10-11 am
Action Planning Session
11-11:30 am
Speaker 1 and Speaker 2 Session
11:30-12:15 pm
Lunch*
12:15-1:45 pm
Behind the Scenes Tour** or Guided Tour and Interactive hands-on learning Session
1:45-2:15 pm
Speaker 2 and Speaker 1 Session
2:15-2:30 pm
Game Session break
2:30-3 pm
Speaker 3 and Speaker 4 Session
3-3:30 pm
Speaker 4 and Speaker 3 Session
3:30-4 pm
Closing
*LUNCH: You will be receiving a lunch with cheese pizza, chips, desserts and a beverage (lemonade). If you have any food allergies or restrictions please contact YOCShelp@gmail.com.
**Behind the Scenes Tour is optional to add to the registration at a rate of $5 with registration of $15, totaling $20.
Youth Ocean Conservation Summit 2015 | National Aquarium