CMA Inspires Program - Share Your Story - Clearwater Marine Aquarium

Clearwater Marine Aquarium is home to many rescued marine animals. We receive many messages from individuals who have a special connection with some of our rescued animals. We always enjoy receiving and sharing these remarkable stories and doing what we can to provide an inspiring experience for all who visit CMA. If you or someone you know shares a connection with our animals and is experiencing a life challenge or thinking of become a future conservationist, please complete the online form to be considered for the CMA Inspires Program. We can’t thank you enough for your support and we greatly appreciate hearing your stories.

Please share the following information with us so we can be fully prepared for your visit:

Contact Name*
First Last
Email*
Email Updates
- I would like to receive email updates from Clearwater Marine Aquarium.
Phone*
Inspire Candidate Information
Who is this submission about?*
- Myself
- Family member
- Someone I know
Name of Inspire Candidate*
First Last
Date of birth*
MM
DD
YYYY
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Share your story including your special connection with one or more of our animals (3000 character limit)*
0 of 3000 max characters
What specific date are you requesting for your visit?*
Please note: Tuesdays and Thursdays are NOT available for an Inspire visit.
MM
DD
YYYY
How many adults and children (including the VIP) are planning to visit?*
Number of children under 12 years*
Number of adults*
What are the first names and ages of all children planning to visit?
First Name Age
Does anyone in your party require any accessibility accommodations? If so, please specify (for example: wheelchair, sign language interpreter, sensory items such as headphones, etc.)?
Clearwater Marine Aquarium requests to video record special visits from Inspire guests. Inspire visitors may be asked to share their story through an on-camera interview.*
- I agree to be video recorded during my visit and possibly participate in an on-camera interview with CMA staff or volunteers.
- I do not wish to be recorded or interviewed during my visit.
After we have the opportunity to review the information you provide and determine whether your requested date is available, you will receive an additional email with details about your upcoming visit.

Please note: If your child is under the age of 6 years, they may not be able to enter the dolphin complex; however, this will be evaluated by your host on an individual basis. You may be contacted via phone by an Inspire team member.

Due to the high volume of requests, we ask for your patience.

We will be in touch soon!
Form Data Consent*
- I consent to my submitted data being collected and stored.
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First Name	Age

Inspire Candidate Information