Please complete this application form if you are interested in completing your court-ordered community service at the Texas State Aquarium.. Once you complete the form, click the submit button at the bottom.

Contact information

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

OK to call me here

Work phone:

OK to call me here

Email address:

Demographics

Year of birth is required for eligibility purposes only. Must be 16 years of age or older to participate.

Date of birth:

Age:

Education

Education:

School:

Requirements

My availability is:

to:

How many community service hours do you need?

Emergency Contact

In the event of an emergency whom should we notify?