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School or Youth Group Reservation

2. Name of School or Youth Group*
4. School/Group Mailing Address*
6. City*
7. State*
8. Zip Code*
10. Your Name*
12. Your Phone*
13. Your Email*
14. Office Number*
16. Method of Payment*
    -- Select One --CashDebit/creditPurchase Order (must be provided by the visit date)

    * Unable to accept pre-written checks.
    
17. Tax Exempt?*

    1. Yes
    2. No
18. Tax Exempt Number
20. Day-Of Emergency Contact
    If you are not attending field trip, please list the name and phone number of at least one person we may contact in the event of a lost child or other emergency.
24. When would you like to visit?

    Please allow up to 5 business days to receive email confirmation of your trip. Email confirmation is required in order to receive field trip admission rates.

26. Preferred Visit Date*
    Preferred Visit Date
27. Arrival Time*
    -- Select One --10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 Am11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM or later
28. Estimated Departure Time
    -- Select One --11:00 AM or earlier11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM or later (Tuesdays only)
30. Alternative Visit Date
    Alternative Visit Date
31. Arrival Time for Alt. Date
    -- Select One --10:00 AM10:15 AM10:30 Am10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM or later
32. Estimated Departure for Alt. Date
    -- Select One --11:00 AM or earlier11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM or later (Tuesdays only)
34. Grade Level/Age Range of Group*

    Select all that apply to your group.

    1. Pre-K (3-5 yrs)
    2. K (5-6 yrs)
    3. 1st (6-7 yrs)
    4. 2nd (7-8 yrs)
    5. 3rd (8-9 yrs)

    1. 4th (9-10 yrs)
    2. 5th (10-11 yrs)
    3. 6th (11-12 yrs)
    4. 7th (12-13 yrs)
    5. 8th (13-14 yrs)

    1. 9th (14-15 yrs)
    2. 10th (15-16 yrs)
    3. 11th (16-17 yrs)
    4. 12th (17-18 yrs)
    5. College (18 yrs+)
36. Expected Number of Students*
38. Expected Number of Chaperones*
    The number of required (free) chaperones plus any other adults your group is paying for.
39. How many additional parents/chaperones will be joining your group?
    This number is only used to predict visitor capacity for the day; it does not affect your group's price.
43. Add-ons -Please Read

    Classroom programs and guided tours are offered Wed.-Fri. only.

    If you request a classroom-based program and have 75+ students, you may be asked to split into two groups to receive back-to-back classes. 

    If you request a tour and have 25+ students, you may be asked to split into two groups to receive back-to-back tours.

45. Program descriptions
    Click here for descriptions of classes and tours.
47. Would you like to add a class or tour? ($3/student)*
    -- Select One --No programTurtle Time (K-2nd)Spectacular Sharks (3rd-5th)Prehistoric Party (6th-8th)General Aquarium Tour (All Ages)The Inside Story! - Behind-the-Scenes Tour (7th-12th)

    Large groups (75+ students for classes; 25+ students for tours) may need to be split into two programs back-to-back due to limited space in the classroom/tour areas.

48. What time would you like your program to begin?*
    -- Select One --I do not want a tour/classNo preference10:30 a.m.11:15 a.m.11:45 a.m.12:15 p.m.12:45 p.m.

    If you have more than one group, this will be the starting time of your first group. The other groups will follow back-to-back. 

50. How many tour groups do you need?
    -- Select One --1 group (25 people)2 groups (up to 50 people)3 groups (up to 75 people)
52. Feed the Animals?*

    Groups may reserve a maximum of 50 cups per feed stand.

    1. Yes
    2. No
53. Turtle Feed Cups ($3 each)
    -- Select One --01234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950
54. Stingray Feed Cups ($3 each)
    -- Select One --01234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950
56. Would you like to receive emails about new programs, events, and promotions?*

    1. Yes
    2. No
58. Additional Notes
    List any comments, special needs, or accessibility concerns here.
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit