School Group Registration Form

Please fill out the form below as completely as possible so that we may provide you with the most accurate information.

Group Information

School Group Name: *

Principal Name:

School Group Address: *

School Group City: *

School Group State: *

School Group Zip Code: *

County:

Tax Exempt Number (if not a school):

Are You A:

Title 1 School

Head Start Center

Neither

Contact Information

School Group Contact Name: *

School Group Day Phone: *

Evening Phone: *

Fax Number: *

School Group Email: *

Group Visitor Information

Visit Date: *

Visit Time: *

Age or Grade of Children: *

Total Child Admission Tickets (ages 2-18): *

Total Adult Admission Tickets (ages 18 and older): *

Total Attraction Tokens:

Lorikeet Nectar Cup: 1 token/person
Wild Animal Carousel: 2 tokens/person
Wilderness Express Train: 3 tokens/person

Total DinoTrek Tickets:

$2 per person. Opens Friday, March 16, 2012.

Education Program Information

Departure Time:

What time do you need to leave?

Program Choice:

Requests/Comments:

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