School Group Trip Registration

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

School Group Name*
School Group Address*
School Group City*
School Group State*
School Group Zip Code*
Tax Exempt Number (if not a school)
School Group Type*
Are you: *
School Group Contact Name*
Contact Daytime Phone*
Contact Mobile Phone
Fax Number
Contact Email Address*
Preferred Date of Visit*
Visit Arrival Time*
Age or Grade of Students*
Estimated Number of Students Attending*
Estimated Number of Adults Attending (including teachers)*
Total Number of Attraction Tokens Needed (2 tokens required per attraction/per person)
Would you like to add a Wild Encounter Program? ($2 additional per person)

Any additional requests or comments?
Please answer the simple math question below to submit the form.
2 + 2 =