New Request Information Form

1

First Name* This field is required.

2

Last Name* This field is required.

3

Preference* This field is required.

Email Me

Call Me

4

E-mail* This field is required.

5

Phone Number* This field is required.

Area Code

Phone Number

6

Child's Name* This field is required.

First Name

Last Name

8

2nd Child's Name

First Name

Last Name

11

School Year of Interest* This field is required.

2022-2023

2023-2024

12

Specific Questions

13

Are you interested in a Group Tour?* This field is required.

Yes

No

15

How did you hear about us?* This field is required.Click 'Other' if you first learned about MMS a different way.

Facebook

Family Referral

Friend Referral

Google Search or MMS Website

Nights in June - Milwaukee County Zoo Event

Milwaukee Magazine

Instagram

Other