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School or Youth Group Reservation

2. Name of School or Youth Group*

4. Will this be your first field trip to the Oklahoma Aquarium?*

   1. Yes
   2. No

6. School/Group Mailing Address*

8. City*

9. State*

10. Zip Code*

12. Your Name*

13. Your Email*

14. Office Number*

15. Your Phone*

17. 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.

21. When would you like to visit?
    Please allow up to 2 weeks to receive email confirmation of your trip. Email confirmation is required in order to receive field trip admission rates.

    Please allow up to 2 weeks to receive email confirmation of your trip. Email confirmation is required in order to receive field trip admission rates.

23. Preferred Visit Date*
    Preferred Visit Date

24. 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

25. 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)

27. Alternative Visit Date
    Alternative Visit Date

28. 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

29. 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)

33. Group Size and Age Range
    IMPORTANT: The Oklahoma Aquarium requires chaperone ratios of 5:1 for 2nd grade and younger and 10:1 for 3rd grade and older. The number of chaperones needed to meet these ratios for your group will receive free admission; chaperones in excess of these ratios will pay $10 admission.

    IMPORTANT: The Oklahoma Aquarium requires chaperone ratios of 5:1 for 2nd grade and younger and 10:1 for 3rd grade and older. The number of chaperones needed to meet these ratios for your group will receive free admission; chaperones in excess of these ratios will pay $10 admission.

35. 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+)
37. Expected Number of Students*

38. Expected Number of Chaperones*

    List the number of chaperones required PLUS any additional chaperones who will be paid for by the school or group.

40. Are any chaperones paying separately from your group?

    1. No
    2. Yes

41. How many additional people will be joining your group?

    We use this number is used to predict visitor capacity for the day.

45. Programs and Tours
    Click here for complete details about educational add-ons and pricing.

47. Program*
    -- Select One --None (self-Guided Tour)Completely Cartilaginous: All About Sharks (Add $3/student)Sea Turtle Science (Additional $3/student)

48. Behind-the-Scenes Tour*
    -- Select One --None (Self-Guided Tour)Swim into Science (3rd-6th grade only)- Additional $3/studentThe Inside Story (must be 7th grade/12 yrs and older)- Additional $3/student

49. 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)4 groups (up to 100 people)

51. Feed the Animals*

    Groups may reserve a maximum of 50 cups per feed stand. Turtle feed: $2 per cup. Stingray feed: $3 per cup.

    1. None
    2. Feed the Turtles
    3. Feed the Rays
52. Turtle Feed Cups
    -- Select One --1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950

53. Stingray Feed Cups
    -- Select One --1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950

55. Method of Payment*
    -- Select One --CashDebit/creditPurchase Order (must be provided by the visit date)

    * Unable to accept pre-written checks.
    

56. Tax Exempt?*

    1. Yes
    2. No

57. Tax Exempt Number

59. Notes

Leave This Blank:


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

    This field is not part of the form submission.

62. Submit