Program Request Form

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

Touchable Animal Encounter: $175 for the first program; $125 for each additional program

Hands-On Animal Encounter: $250 for the first program; $225 for each additional program

Half or full day visit: Half-day (3 hours) program: $375; Full-day (6 hours) program: $575

Assembly: $350 for the first program

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.

$30 travel fee for the following parishes/counties: Upper Plaquemines, St. Charles, St. John the Baptist, Livingston, Washington, Stone, Lamar, & Jackson County

$45 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?

Touchable Animal EncounterHands-On Animal EncounterAssembly ProgramHalf DayFull Day
Which program subject would you like?
Anything else you want us to know - amount of participants, indoor or outdoor, how many hours/programs?
Should be Empty: