Program Request Form

Program Request Form
We will follow up after receiving your requests within 2 business days.

Animal Encounter:

For groups of up to 40 participants, pricing is $175 for the first program and $100 for each additional program.

Half or full day visit: Half-day (3 hours) program: $375; Full-day (6 hours) program: $675

Nature Station: $150 for the first hour; $100 each additional hour

We travel all over SELA and coastal MS.

No Travel Fee: St. Tammany, Orleans, Upper Jefferson, Tangipahoa, St. Bernard; and MS counties: Harrison, Pearl River, Hancock.

$25 travel fee for the following parishes/counties: Upper Plaquemines, St. Charles, St. John the Baptist, Livingston, Washington, Stone, Lamar, & Jackson County

$30 travel fee for: Ascension, East Baton Rouge, Lafourche, East Feliciana parishes

Travel fees are paid in addition to program fees and are to offset additional vehicle costs. If you are in an area not listed please email me for a quote.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Preferred Method of Contact

EmailPhone
Program Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Visit Date

MonthDayYear
Date
Alternate Date (if flexible)

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Which program are you requesting?

Animal EncounterHalf DayFull DayNature Station
Which program subject would you like?
If you would like participants to hold an animal for pictures (that you take), it is an optional $4 per participant. This is for ages 5+.

Yes, I would like this option.No, thank you.I would like the option for a small group.
Anything else you want us to know - amount of participants, indoor or outdoor, how many hours/programs?
Should be Empty: