Junior Zoo Keeper Request Form

All information provided is kept strictly confidential.
We will never share or sell any information.
FILLING IN NAME, PHONE AND E-MAIL IS
REQUIRED FOR A REPLY.

Parent's Name:

Phone:

Address:

City: State: Zip:

E-Mail Address:

Only 1 child per scheduled time unless siblings, 2 maximum.
Program available for ages 8 and up, some exceptions made.

Name & Age of Child:

Date(s) Requested:

Time of Day:

2nd child scheduled at same time must be sibling.

Name & Age of 2nd Child:

Please call for more than 2 siblings or children to schedule separate dates
and times. This is an One-On-One program for children.

Please list any questions or concerns you may have.