Leave this field empty
Dolphin Encounter Reservation Request Form
This form should be used only for reservation requests that are more than 2 days in advance of the date you wish to reserve at Dolphin Harbor. For Dolphin Harbor requests for today or tomorrow, please call 305-365-2501. Submitting this request does not guarantee a reservation.
Program
Dolphin Encounter
First Preferred Date
Second Preferred Date
Number of Participants
1
2
3
4
Participants 9 and under must be accompanied by a participating (in-water) older sibling or adult.
Name
Age (if under 18)
Height
Name
Age (if under 18)
Height
Name
Age (if under 18)
Height
Name
Age (if under 18)
Height
Are all the participants at least 5 years of age.
Please Select
Yes
No
Participants 9 and under must be accompanied by a participating (in-water) older sibling or adult.
Are any of the participant's pregnant?
Please Select
No
Yes
Unfortunately the program is not available to expectant mothers.
Do all participants speak and understand English?
Please Select
Yes
No
If no, you must have a relative or friend participating along in the program (in water) in order to translate.
Do any of the participants have any physical or mental limitations?
Please Select
No
Yes
Please Specify:
Number of Observers
0
1
2
3
4
Children 10 and under must be accompanied by an Adult observer.
Name
Age (if under 18)
Name
Age (if under 18)
Name
Age (if under 18)
Name
Age (if under 18)
Contact Person
First Name
Last Name
Address
City
US States
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Zip
Canadian Provinces
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
NorthWest Territories
Nova Scotia
Nunavit
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Phone Number
Email
Hotel where you will be staying
How did you hear about this program?
This is an online request ONLY! A representative will contact you within 1 business day to complete your request. Spaces are limited. Feel free to contact our reservations department directly at 305-365-2501