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2. Name of School*
3. School District*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Contact Person*
12. Principal*
14. Phone Number*
15. Fax Number*
17. Email Address*
19. Grades Served*

    1. Pre-Kindergarten and Kindergarten
    2. Grades 1 through 3
    3. Grades 4 through 6
    4. Grades 7 through 12
21. Funds are available to schools and other institutions that face financial hardship. First priority will be given to groups that demonstrate the greatest need for financial support.
23. Total Enrollment*
24. Does your school receive Title 1 funding?*

    1. Yes
    2. No
28. Field Trip/Program Information
30. School/Group Name*
31. Contact Name*
33. Contact Cell Phone
35. Contact Email*
37. Grades/Ages*
38. Approximate Number of Students
39. Approximate Number of Adults*
41. A minimum of 1 adult to every 5 children is required for 2nd grade and under, a minimum of 1 adult to every 10 children is required for 3rd grade and above. If your group requires additional adults than covered by complimentary teacher admission, they are generally not considered for Fish Friends, but are offered the discounted Education Department rate ($10 per additional adult). Exceptions are considered on an individual basis.
43. Requested Date*
    Requested Date
    (1st Choice)
44. Requested Date*
    Requested Date
    (2nd Choice)
46. Requested Arrival Time *
    Requested Arrival Time
    (Doors Open at 10 a.m.)
48. Does your group have any special needs that may impact your visit? Please describe
49. Are you requesting an add on education program

    1. Inside Story Tour (7th-12th grade only)

    Checking yes does not alter your chances of receiving funding.
51. We would like to know more about your desire to visit the Oklahoma Aquarium*
    Please write why you would like your group to visit the Aquarium, or how you believe your visit will benefit your group? What alternative resources you have turned to before requesting scholarship support from the Aquarium? How will your school, district, Parent Teacher Association or other constituencies support your trip?
53. Fish Friends recipients may be asked to write letters of thanks for future fundraising efforts. They may also be asked to participate in short pre and post surveys to support research at the Oklahoma Aquarium. If you have additional questions after reviewing the application, please call the Education Department at 918-528-1508 between 8 a.m. and 5 p.m, Monday through Friday.

    1. I acknowledge the above
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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field