Contact Information

First Name *

Last Name *

Phone *

Email *

School Information

School Name *

School District *

School/Group Type *

School/Group Type

Tax Exempt *

Tax Exempt

Trip Request

Requested Visit Date *

Requested Start Time *

(any time between 10 AM - 4 PM)

Estimated Number of Adults ($12/adult) *

Estimated Number of Students ($8/student) *

Included Mammal Show *

Included Mammal Show

Included Reptile Show *

Included Reptile Show

Would you like to add extra animal shows? ($50/animal) *

Would you like to add extra animal shows? ($50/animal)

Which Extra Shows Do You Want? (Check all that apply)

Fennec Fox

Brown Lemur

Red Ruffed Lemur

Burmese Python

Corn Snake

Alligator

Pancake Tortoise

Dwarf Crocodile

Number of Feed Bags ($2/ea) *

These feed our goats, mini cows, llama, and deer in our petting zoo.

Number of Mealworm Cups ($1.50/ea) *

These feed our free-range chickens & peacocks roaming around the zoo.

Number of Small Mining Bags ($4.99/ea) *

These can be used at our gemstone mining location. Each bag guarantees gems to be found!

Picnic Tables Needed? *

Picnic Tables Needed?

Transportation *

Buses

Mini Buses / Vans

Cars

Expected Payment Method *

Expected Payment Method

Additional Informations or Questions?

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