TENNESSEE AQUARIUM PROGRAM REGISTRATION FORM
NOTE: Please print this form and complete to register by phone or mail. Payment in full is required for all programs with program registration. Registrations by mail are held until registration opens.
NAME: ______________________________________________________________________
MEMBERSHIP # (if applicable): ___________________________________________________
ADDRESS: ___________________________________________________________________
CITY: ____________________________ STATE: ________________ ZIP: ________________
HOME PHONE: ______________________     CELL/BUSINESS PHONE: ________________________
E-MAIL: _____________________________________________________________________
 
PROGRAMS
DATE/TIME
PARTICIPANT'S NAME
AGE
FEE
         
         
         
         
         
*Please indicate second choice of date/time if program is offered more than once.
**Guests who are not Aquarium members must pay non-member fee.
 
Check enclosed (payable to Tennessee Aquarium)
                


Card number _______________________________________________ Exp. date ________________

Cardholder's signature _________________________________________________________________

MAIL TO:
Member Programs
Tennessee Aquarium
P.O. Box 11048
Chattanooga, TN 37401-2048

PHONE:
800-262-0695
423-267-FISH (3474)
Monday - Friday
8:30 a.m. - 4:45 p.m. ET


PAYMENT:
is required in advance by check or credit card .
CONFIRMATION: Dependent on space availability at time of payment receipt. Confirmation will be e-mailed or mailed.
CANCELLATIONS: Unless noted differently in program descriptions, cancellations must be received no less than two weeks prior to date of the program for a refund.
MEMBERSHIP: For more information about becoming a member of the Tennessee Aquarium, go to www.tnaqua.org.