Out Reach Request

Outreach Reservation Form

There are errors in your form submission:

Enter school or organization name.
Enter contact person.
Enter the address.
Enter the city.
Enter the state.
Enter the zip code.
Enter the email address.
Enter the phone number.
Enter first preferred date.
Enter second preferred date.
Enter mileage from Aquarium.
Calculate estimated travel fee.

The North Carolina Aquarium at Pine Knoll Shores 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. Click here for detailed information on programs and fees.

Required Fields *

Group Information

School or Organization: *
Contact person: *
Address: *
Address 2:
City: * State: * Zip: *
E-mail: *
Telephone: *

Date and Time Information

NOTE: Please list several program dates in order of preference.You may even list certain weeks when you are available.

Preferred Date: *
Second Preferred Date: *
Third Preferred Date:
Fourth Preferred Date:

Program Preference

If you already know the programs you would like, please tell us using the form below. This form will help you design a schedule and estimate the cost of your requested outreach programs. Please list desired programs and grade/age range, time, group size and number of participants. Please note the earliest start time is 10 a.m. or later depending the request and program location. Earlier start time can be accommodated but may be subject to additional fees. Please call 252.247.4003 x 283 for additional information.

Desired Program	Grade/Age	# of participants	Time	Repeated Program?	Cost
1.					$
Cost: Large Group Program ($200) Small Group Program ($100)
2.				Yes No	$
Cost: If repeated program, use discount price. Large Group Program ($200 or $100) Small Group Program ($100 or $50)
3.				Yes No	$
Cost: If repeated program, use discount price. Large Group Program ($200 or $100) Small Group Program ($100 or $50)
4.				Yes No	$
Cost: If repeated program, use discount price. Large Group Program ($200 or $100) Small Group Program ($100 or $50)

Cost Estimator

Please click here to approximate mileage from the Aquarium to your location. Enter your address in the end field. Enter the number of miles in the box below.

Miles from Aquarium X 2 (roundtrip) X $0.75 per mile = $ Estimated travel fee

Total Program Cost $ + Estimate travel fee $ = $ Estimated total cost**
*** Desired program must be completed prior to calculating the Estimated Total Cost.

**Additional fees may be applicable, depending on the nature of the request. Please click here for fee information.

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

Please note this is NOT a confirmation but a request. Do not send fees before receiving an invoice and confirmation from the Aquarium. If you would like to speak with the Outreach Coordinator please call 252.247.4003 ext. 283. Thank you!