Special Needs

Gulfarium Marine Adventure Park makes every effort to make your visit a memorable one. If you or a family member has any special needs, please fill out this form so that we can provide assistance.

This questionnaire asks specific questions regarding the participant’s physical and behavioral abilities. Filling this out completely and honestly will help us to best assess our ability to satisfy your request. In some cases, we may not be able to accommodate the desired encounter. We apologize in advance for any inconvenience.

"*" indicates required fields

Participant Name*

Contact name for family member/attendant

Attendant Name
Encounter programs of interest
Desired Date of Entry
Does the participant use a wheelchair?
Does the participant have use of their upper body?
Does the participant have use of their lower body?
Does the participant follow spoken instructions readily?
Does the participant have control of their bodily functions (fecal/bladder)?
Does the participant experience spasm and or other muscular impulse behavior?
Does the participant hear well?
Does this participant see well?
Will the participant need an aide with them during the encounter?
Note: Aide must be a friend/family member of the participant, not a member of the Gulfarium staff. Aide is considered a program participant.
Does the participant require equipment to travel with them?
Is the participant comfortable around large animals?
Is the participant comfortable around water?
Is the participant comfortable wearing a wetsuit and lifejacket?
This field is for validation purposes and should be left unchanged.