Virtual Program Application
Please let us know what you are looking for! Anne Casey, our Virtual Education Coordinator, will receive your request and get back to you as soon as possible.
Your Organization Name
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Primary Contact
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First Name
Last Name
County
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Ex. Pueblo, Fremont, etc.
Phone Number
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(xxx) xxx-xxxx
E-mail
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Class grade(s)
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Approximate number of students
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Number of individual screens
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Number of classes
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Which program would you like? Note: all programs are one hour in length
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Animal Encounter
Coats and Colors
Biodiversity
Animal Adaptations
Growth and Development
Food Chains
Wolves of the West
Bison Evolution
Please list, in order of preference, THREE preferred dates with times that will work for this program to be presented to your students/group
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How many classes would you like us to present to? Classes usually equals number of programs we will present. If you would like to combine classes, please let us know how many, in total, will be presented to.
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Please let us know which online classroom/meeting platform you are using and would like us to present on (ex. Zoom, Google Meets, etc)
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Please list any other names with email addresses of people you would like to be included on future communications regarding this reservation
How did you hear about our virtual program offerings?
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Pueblo Zoo website
Facebook
Instagram
Direct email
Pueblo Zoo E-News
Pueblo ZooNews
Flyer
Other
Choose only one
Submit
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