How to become an AQUAPARENT:

Simply choose an animal from the list, complete the form below, and mail it with your payment to the Aquarium.  Then sit back, we'll do the rest!

 Please Print:

 Name ________________________________________________________

 Address ______________________________________________________

 City _________________________________________________________

 State ______________________      Zip ______________

 Phone __________________________

 Animal to be adopted _______________________________

 Name, as it should show on AQUAPARENT certificate _____________________________

 If this is a gift, please fill out the following:

Recipient's name ____________________________________________

Address ___________________________________________________

City ________________________________________________________

State ______________ Zip ____________

Phone _______________________________________

Please charge to:

            ____ VISA      ____ Mastercard          ____ Discover  ____ American Express

 Account Number _______________________________________

Expiration Date ________________________

Signature _____________________________________________

TOTAL AMOUNT ENCLOSED __________

Make checks payable to: Niagara Aquarium Foundation

Mail to:

Aquarium of Niagara - AQUAPARENT

701 Whirlpool Street

Niagara Falls, NY  14301-1094