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Visitor Comment Form

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