Make Your Outreach Program Reservation Here * Items in bold are required. Today's Date (mm/dd/yyyy): First Date Choice (mm/dd/yyyy): Second Date Choice (mm/dd/yyyy): Group's Name: Leader's Name: Phone Number (xxx-xxx-xxxx): Cellular Number (xxx-xxx-xxxx): Fax Number (xxx-xxx-xxxx): Address: City: State: Zip Code: Email Address: Outreach Program Prices Up to 100 students: $275.00 101-150 students: $315.00 151-200 students: $375.00 Additional hour: $100.00 Mileage fee will apply after 10 miles at an additional rate of $2.50 per mile. Middle and Elementary School Program Choice Choose a Program if ApplicableAdaptationsHabitatsLCSI: Animal MysteryClassificationFood Chain High School Program Choice Choose a Program if ApplicableCareers in ZoosSave your Mascot * Customized programs may be available upon request. Grade Level: Number of Children: Please note that programs are limited to 60 minutes.Longer presentation times are available for an additional fee. Please contact the groups department for additional details. Tax Exempt: YesNo If Yes, please upload copy of your Tax Exempt Certificate: (Accepted file types: doc, pdf, jpg, txt. Limit of 1MB) Driving Instructions Payment Full payment must be made (1) week in advance before the scheduled outreach date. (If payment is not received by the deadline, we reserve the right to cancel the outreach program). Note: In order for purchases to be tax exempt payment must be made in the form of a check from the tax-exempt institution or credit card in the name of institution. Cash, personal checks or personal credit cards can’t be accepted for tax exempt sales {state of Florida Department of Revenue Rule 12A-1.038(3)(A Please submit this completed form along with a tax exempt certificate (if applicable) at least one week prior to your visit. If you would rather Fax, Mail, or E-mail your group reservation form, then you must download and fill out the Outreach Reservation Form downloadable here. Please Note: If you have not received a confirmation letter within 5 business days, from the date that we receive your reservation, please contact us. Thank You! Signature: Type the four characters into the box below:
