Critter Cabana Event Reservation Form
Contact Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Alternative Contact
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
School/Company/Church Name
Event Details
For in-store events: 516 E First St, Newberg, OR 97132
Address of event:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parking or Building instructions
What type of event are you interested in?
*
Please Select
Educational event
In-store Guided Tour
In-store Unguided Tour
Other
Date of event and start time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Alternative date if first choice is unavilable
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Will the event be hosted indoors or outdoors?
*
Please Select
Indoors
Outdoors
Either (Flexible)
Unknown
In-store Location (Critter Cabana)
Age range of audience:
*
Number of child attendees:
*
Please Select
1-5
5-10
10-15
15-20
20-30
30+
None - adults only
Number of adult attendees/supervisors:
*
Please Select
1-5
5-10
10-15
15-20
20-30
30+
What types of critters are you hoping to see?
Small Animals
Birds
Reptiles
Invertebrates (bugs)
Other
Any special requests or critters to avoid?
Please disclose any known allergies, phobias and specific animals prohibited on the host campus. .
Anything else to note?
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Submit
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