Form

School Address:*

School Phone #:*
- Area Code Phone Number
Teacher Name:*
First Name Last Name
Teacher Phone #:*
- Area Code Phone Number
Teacher E-mail:*
Grade Level:*
Which type of field trip?*

Daytime Overnight
First Choice Date:*
/ Month / Day Year
Second Choice Date:*
/ Month / Day Year
Estimated total number of students:*
Estimated total number of adults:*
Estimated number of busses:*
Are your busses school or charter busses?
Will busses be staying at the Zoo during your field trip?*

Yes No
Are you interested in participating in any of the following educational activities?

Animal demos (please see available times online) Adventure Pass (April - October) CREW program
Please attach support materials showing financial need here:*
Attach Description of how this trip will enhance learning in the classroom:*
Attach lesson plan, with an explicit description of what your students will do when at the Zoo:*
Notes:
Anything else we should know?
Should be Empty:

Financial Aid Form