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

Skunk

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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