Group Reservation Request Form

I understand that we may not be able to accommodate trip requests made less than two weeks in advance?

School, Organization, Group, or Business Name

Type of Group

Student Grades

School, Organization, Group, or Business Address

Address

Address - Second Line

CityState

ZIP CodeCountry

Group Leader's Name (day-of contact of person in attendance during the trip)

First NameLast Name

Group Leader's Email

Please enter a valid email address.

Group Leader's Phone (business or personal)

Please enter a valid phone number.Format: (000) 000-0000.

Is the group leader also the administrator/office contact?

Office Contact's Phone (business or personal)

Please enter a valid phone number.Format: (000) 000-0000.

Office Contact's Email

example@example.com

Preferred Zoo to Visit

Preferred Event Option

Date of First Choice & Arrival Time (please arrive as close to your assigned arrival time as possible). Please refer to our hours of operation for guidance.

YearMonthDay

Hour MinutesAM/PM Option

Date of Second Choice & Arrival Time (please arrive as close to your assigned arrival time as possible). Please refer to our hours of operation for guidance.

YearMonthDay

Hour MinutesAM/PM Option

Date of Third Choice & Arrival Time (please arrive as close to your assigned arrival time as possible). Please refer to our hours of operation for guidance.

YearMonthDay

Hour MinutesAM/PM Option

Total Number of Adults

Total Number of Children/Students

Breakdown of Number of Students Per Grade

(ex., preschool: 40, middle school: 25)

Do any of the students in the group have special needs? We recommend 1:1 for students requiring special 1:1 attention.

How many students require special 1:1 attention. Please give a total number.

(ex., 5)

Are you interested in adding an additional education program to your visit? (Available for groups up to 25 people)

Are your students interested in collecting used cell phones to support gorilla conservation?

Comments

If you are a 501(c)(3), in order to confirm your organization's tax-exempt status, please upload a copy of your IRS 501(c)(3) determination letter. If you don't have it handy, a recent IRS exemption verification or your W-9 showing tax-exempt status also works. This documentation is required to receive the nonprofit group rate.

Please verify that you are human.