Biorock® Impact Tour at Gangga Island

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We strive to introduce our technology and raise awareness of general public by giving the direct experience through this tour. In this course, each participant will understand the full cycle and complete process of restoring coral reefs using the Biorock® Technology. This one day course shall be conducted by the co-creator of the technology itself, Thomas Goreau, and Biorock Indonesia's experts.

Email *

Full Name (Please type carefully as this will be used for participation certificate) *

Organization *

Position *

Whatsapp Number (For Coordination) *

Nationality *

Country Represented in AIS Forum

Please insert your ticket number *

Tickets are available on https://www.eventbrite.com/e/biorock-introduction-at-gangga-island-tickets-75806014831?aff=ebdssbdestsearch

Will you attend the Sustainable Marine Ecotourism Workshop (FREE) by Biorock Indonesia at AIS SBS 2019? *

Yes

Does your area/country have similar problem such as Coral Reef Destruction or Eroded Beach? *

Yes

What has been done so far to overcome the problem? *

Have you heard anything about Biorock Technology or Biorock Indonesia? *

Yes

Why do you interested to join this event? What Is your hope by participating? *

Are you interested in seeing Biorock structure by snorkeling? *

For those who prefer not to snorkel, any alternatives will be informed later

Yes

Please provide your shoes size (in EURO) *

For those who prefer not to snorkel, any alternatives will be informed later

Preferred lunch menu: *

Normal

Halal

Vegetarian

Vegan

Other:

Inquiry for special needs *

Please do provide information if you have any issue that need special attention (food allergies, disability, etc.)

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Biorock Indonesia. Report Abuse

Forms