Field Trip with Career Panel Request Form

Billing Information
Who Is Responsible for Payment?
District, Your School, Funder/Adopter, etc (if so, who)?
Billing Name

First NameLast Name
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Phone Number
Main phone number for the person in charge of billing information
Email
example@example.com

Field Trip Information

All request should be made at least 2 weeks in advance, but can be made up 3 business days in advance. Dates sell out so request early!
Check-In Teacher's Name (day of field trip)*

First NameLast Name
Check-In Teacher's Cell Phone Number (for emergencies)*
Main phone number for the teacher in charge of the field trip
Student Grade Levels*

9th Grade10th Grade11th Grade12th Grade
Total estimated number of students*
Final number of students will be taken at check-in.
Total estimated number of adults *
1 adult chaperone per 7 students is required. All required chaperones receive free admission. Additional chaperones beyond required minimum are $7 each.
Do you have any required 1:1 student aides? If so, how many of your above total adults are required student aides. *
Will your group bring a service animal?*

YesNo
Bus Parking

All buses that are parking at the Zoo must purchase a bus parking pass. No charge for buses dropping off.
Do you need to purchase bus parking passes?*

Yes, the bus must park at the Zoo.No, we are dropping students off.We will not have buses.
Number of Buses Dropping Off

	Number of Vehicles parking
Type A: Mid-size school bus, Full-size school bus or Charter/Tour Bus ($50 parking)
Type B: Small school bus/Alternate Bus ($10 parking)
Type C: Van/Passenger Van ($10 parking)

Rides (optional)
Rides

Unlimited Train and Carousel Ride Tickets ($4 per person; students must be accompanied by an adult on the train). Must be purchased before entry to receive discount.
Number of Rides Tickets (students and adults)

Lunches (optional)
Lunches
Lunches are available Monday-Friday, year-round. Lunches must be ordered at least two weeks in advance, and are made directly to our catering partner, SSA.

Lunches are ordered as number of hot dogs ($8/hot dog), or number of pizzas (8 slices per pizza, $24/pizza), and then number of chips/water ($6) you would like.

If you select that you would like to order school lunches, once your field trip is confirmed, you will receive a link to the School Lunch order form. Your lunch order will be paid directly to SSA.
I would like to order school lunches for my group.
Stay in Touch with the Zoo

Keep up to date with the Cincinnati Zoo's School Programs!
I would like to be added to the monthly Teacher Newsletter.*
Enter your email address below.
example@example.com OPTIONAL: By adding your email address above, you are consenting to receive marketing emails from: Cincinnati Zoo, 3400 Vine Street, Cincinnati, OH, 45220 United States, http://cincinnatizoo.org. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact.
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Career Panel Field Trip Request