Please use this form to begin the process of scheduling an outreach program for your group. NOTE: This is an inquiry form only, to assist in the scheduling process. You will be contacted by one of our staff to set a date for the actual outreach program. Asterisked (*) fields are required

Organization information

*School, Business or Organization
*Street
*City
*State
*Zip code
*Business phone
*Have you booked with us before?

Contact information

*First name
*Last name
*Email
*Phone
*I am a

Program information

*Number of students participating
*Grade(s) participating: (enter range if appropriate)
*I am interested in (max. 3):
Engineering and Erosion (Grades 3 – 8) Tidepools Alive (PreK - Grade 1)
Go Fish! (Grades 3 – 6) Tidepool Adaptations (Grades 2 – 5)
H2O! (Grades 6 – 12) Tidepool Habitats (Grades 1 – 3)
Intertidal Ecology (Grades 6 – 12) Tidepools for Tots (under 3 years)
Penguin Data (Grades 1 – 5) Tidepool Revue (Grades K – 5)
Rockhopper Hop (Grades 1 – 5) Turtle Trek (Grades PreK – K)
Sharks (Grades 3 – 6) Water Properties (Grades 2 – 5)
Squid Anatomy (Grades 5 – 12) Whale Day (Grades 1 – 6)
     
For the selected program(s) I would like:    

Event date and time

   
Please note: we require at least 2 weeks' advance notice for booking.
All programs are 45 minutes with a 15-minute break, with the exception of toddler programming.
*Preferred date

 
*Alternate date

 
Comments      
Please list any comments or concerns you have regarding your request