Please leave your information, and zoo staff will contact you about setting up a distance learning program. Thank you!
Distance Learning Programs
Facility or Organization Name
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Contact Person
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Phone Number
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E-mail
*
Day of Program Contact Name
Day of Program Contact Phone Number
Address of Facility
City
County
State
Zip
Billing Address
Billing City
Billing State
Billing Zip
1st Date of Choice
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Month
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Day
Year
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2nd Date of Choice
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Month
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Day
Year
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3rd Date of Choice
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Month
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Day
Year
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Program Request
Preschool
Animal Movements
Ask the Zoo
Grades K-2
Amazing Adaptations
Elephants & Biodiversity
Ask the Zoo
Virtual Animal Presentation
Grades 3-5
Amazing Adaptations
Camera Traps for Conservation
Life in the Genesee
Ask the Zoo
Virtual Animal Presentation
Grades 6-8
Amazing Adaptations
Camera Traps for Conservation
Life in the Genesee
Ask the Zoo
Virtual Animal Presentation
Grades 9-12
Amazing Adaptations
Camera Traps for Conservation
Life in the Genesee
Ask the Zoo
Virtual Animal Presentation
Adults & Mixed Age Groups
Amazing Adaptations
Camera Traps for Conservation
Life in the Genesee
Ask the Zoo
Virtual Animal Presentation
Festivals
Life in the Genesee
Amazing Adaptations
Does the Audience Have Special Needs?
Yes
No
If Yes, Please Describe
How Many Participants in EACH program will there be?
What time would you like the program to start?
Program Start Time Choice 1
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Program End Time Choice 1
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Program Start Time Choice 2
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Program End Time Choice 2
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Program Start Time Choice 3
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Program End Time Choice 3
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Program 4 Start Time
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Program 4 End Time
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Submit
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