Outreach Request

Outreach Request Form

Required Fields *

There are errors in your form submission:

Enter the contact name.
Enter the group name.
Enter the address.
Enter the city.
Enter the state.
Enter the zip code.
Enter the contact person's email.
Enter the contact person's phone number.
Enter the desired program(s).
Enter the age/grade of group.
Enter the group size.
Enter the program date.
Enter the program time(s).

The North Carolina Aquarium at Fort Fisher offers a number of exciting, interactive, hands-on outreach programs able to come to you! We can provide both small-group hands-on programs and interactive large-group programs for audiences of all ages and backgrounds. We incorporate engaging demonstrations, dramatizations, experiments and live animal encounters designed to inspire appreciation and conservation of North Carolina's aquatic environments.

Contact Information

Contact Person: *
Group Name: *
Event:
Address: *
Address 2:
City: * State: * Zip: *
E-mail: *
Work Phone: * Home Phone:
Cell Phone: Fax:

Program Information

Desired Program(s): *
Program Details:
Age/Grade of Group: * Group Size: *
Program Date: * Program Time(s): *

Please note any questions, special needs, or interests in this space:

Please note this is NOT a confirmation but a request. You will receive an email acknowledgement with additional logistical information, and we will call or email to confirm your tour and review payment. If you would like to speak with the Outreach Coordinator please call 910-772-0509 extension 236. Thank you!