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MSU Science Education at Sea
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Outreach Program Registration
Mississippi Aquarium is dedicated to its three pillars - Education, Conservation, and Community. Through it's outreach efforts, Mississippi Aquarium is able to bring the wonders of the aquatic world to communities across the coast.
Whether you're a school, business, or organization, looking to add a little FINtastic fun to your event, we encourage you to fill out the form below for consideration.
The submission must be received no less than 2 weeks prior to the event date to be considered.
All applications will be reviewed within 7 business days of submission. Mississippi Aquarium's attendance is not confirmed with a submission. If selected, a Mississippi Aquarium crew member will be in contact with the person listed on the submission to make the arrangements.
For more information, contact
WSUMRALL@MSAQUARIUM.ORG
Contact Information
First Name
*
Last Name
*
Email Address
*
Sign up for email updates from Your Organization Name Here
*
Title/Role
*
Phone Number:
*
Organization Details
School, Business, or Organization Name:
*
Type of Organization:
School, Library, Festival, Business, Etc.
*
Website or Social Media:
Event Details
Event Name:
*
Event Description:
(Purpose, Theme, Audience, etc.)
*
Event Location:
(Include Address.)
*
Event Date & Time:
(Include Setup and Teardown Times)
Estimated Number of Participants/Attendees:
*
Age Range of Participants:
*
Indoor or Outdoor Event?
select
Indoor
Outdoor
*
Event Parking and Load-in Instructions:
*
Logistics & Needs:
Requested Length of Visit or Presentation:
*
Preferred Arrival/Program Time:
*
Is electricity available?
select
Yes
No
*
Table(s)/Chairs provided?
select
Yes
No
*
Handwashing station or restroom available nearby?
Important if animals attend.
select
Yes
No
*
Program Request
What type of program are you interested in?
i.e. Animal Ambassador Visit, Conservation Talk...
*
Are there specific topics or animals you would like featured?
*
I understand that a fee will be associated with any animal visitors.
*
Has Mississippi Aquarium participated in this event before?
select
Yes
No
Unsure
*
Additional Details
Event Admission Fee(if any):
Please include any non-profit discounts.
*
Will other live animals or loud music be present?
*
Any special notes or reqeusts:
Submit
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