Education

 • Classroom Lessons
 • Outreach
 • Deep Sleep
 • Summer Sea Camp
 • Meet Us In The Wild
 • Scout Workshops
 • Teacher Professional Development
• Teacher Resources



Summer Camp Preliminary Registration Request Form



Fields in Bold are required      
Family Name: This is a Required Field.

Registrations Desired:


Child One Information
First Name:
Last Name:
Age:
TShirt Size:
Please select the Summer Camp programs you would like your child to attend:
July 7 - 11 - The Lionfish King:
Children Ages 7-12
July 14 - 18 - Seastar Wars:
Children Ages 7-12
July 21st - August 2ndd — Junior Marine Biologists:
Children Ages 13- 16
Child Two Information
First Name:
Last Name:
Age:
TShirt Size:
Please select the Summer Camp programs you would like your child to attend:
July 7 - 11 - The Lionfish King:
Children Ages 7-12
July 14 - 18 - Seastar Wars:
Children Ages 7-12
July 21st - August 2nd— Junior Marine Biologists:
Children Ages 13-16
Child Three Information
First Name:
Last Name:
Age:
TShirt Size:
Please select the Summer Camp programs you would like your child to attend:
July 7 - 11 - The Lionfish King:
Children Ages 7-12
July 14 - 18 - Seastar Wars:
Children Ages 7-12
July 21st - August 2nd — Junior Marine Biologists:
Children Ages 13-16
Contact Information:
  Title First Name M. I. Last Name  
Contact: This is a Required Field. This is a Required Field.  
 
Address This is a Required Field.
City A value is required. Please select a valid item.Please select an item. Zip A value is required.  
County A value is required.
Address Type:

 

   

Home Phone: A value is required.  
Work Phone:  
Cell Phone:
Preferred Phone Type: Please select an item.  

 
Personal Email: A value is required.Invalid format.  
Work Email: Invalid format.  
Email Type: Please select an item.< />  

 
Emergency Contact Information:
First Name   Last Name


 
Phone Number:

Check here if you are a passport member:
 
Passport Member ID:
 
Passport Member Expiration Date:


 
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Additional Comments:
 

  

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