New Jersey Academy for Aquatic Sciences

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Visitor Comment Form

Fields in Bold are required
	Title	First Name	M. I.	Last Name
Name
Address

City				Zip
Country	County

Home Phone:		--
Work Phone:		--
Home Email:
Work Email:
Please send to:		Click here to contact Adventure Aquarium
Question/Comment:
If you would like to receive information about NJAAS programming by mail, please be sure to provide your complete mailing address.


Please complete the survey below. By doing so you will help NJAAS determine the kind of educational programs and other information that most interests you.
	Aquatic research		Summer camp for underserved youth
	Environmental education		Classroom programs for youth
	Outreach programs to schools		Participating in fundraising events

Would you like to receive occasional e-mail updates from us? If so indicate your preferences below
	Yes No
	Preferred e-mail format: HTML Plain Text
Please indicate below the type of communication you would like to receive from us:
	Solicit me for donations via e-mail (save paper!)
	Send me the electronic version of The Water Column when it becomes available
	Send me invitations to events via e-mail
	Keep me updated on the latest happenings at the Academy
By answering the questions below you can help us judge the effectiveness of our website. Click the "Submit" below to skip this section.
	Your age range:
	Do you have children? Yes No
	How many children under 18? How many children over 18?
	What is your connection to the Academy?
	Former member	My profession
	Adventure Aquarium Visitor	Current or former volunteer
	Current Donor	Interest in the environment
	Past Donor	Interest in aquatic wildlife

	In your opinion, which of the following is the most serious threat to Aquatic environments?
	Overfishing	Water pollution/toxic releases
	Limited public understanding	Air pollution
	Dangerous collecting methods	Other
		If you answered "Other", please specify:
	What actions are you willing to take to address these threats?
	Supporting aquatic research programs
	Supporting environmental education programs
	Becoming a member and providing financial support
	Participating in fundraising events
	Informing friends and family about the mission of the academy
	Have you, or someone you know, been involved in any of the Academy activities listed below?
	Outreach programming at schools	Distance Learning
	C.A.U.S.E.	Volunteering at the Aquarium
	Summer Sea Camp	Teacher training
	Deep Sleep	None of the above

	Are you a:
	Teacher or educator	College student
	High School student	Middle school student
	Philanthropic donor	None of the above

		You may also write us at the address below: New Jersey Academy for Aquatic Sciences 1 Riverside Drive Camden, NJ 08103 Or call us at: (856)365-0352 Or fax us at: (856)365-3318