Wait listed seal walks

Please complete this form and then click on the submit button when ready to send

This seal walk reservation is non-binding and is used to estimate how many people will be joining us.

First Name*

Last Name*

Address 1*

Address 2

City*

State* Choose AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IO KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY

ZIP *

Telephone (10 digits, no dashes, no parentheses )*

In case we need to reach you the day of the trip and your are in transit, please provide a cell # (10 digits, no dashes, no parentheses )*

E-Mail Address*

(It is very important that you provide an e-mail address so that we can send detailed instructions to you concerning where and when to meet, what to wear, etc..)

Please indicate the number of individuals  *   

Seal walks for groups of 10-50 (school groups, scouts, etc.) have to be scheduled separately and can be scheduled on dates other than those listed.  Please send an e-mail with your requests, by clicking on this link to Dr. A. Kopelman

Notes or Comments:

Thanks for making a reservation!

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