Pre-K, Day Care and Special Group Reservation Form - Blank Park Zoo

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Please fill out this form completely. If you have any questions, feel free to call our Education Department at 515-974-2550.

Please note: This form is for Pre-K, Day Care, and other groups. If you want to reserve a group for grades K-12 field trips, please click here.

* denotes a required field.
Date of Visit: * (mm/dd/yyyy)
Estimated Arrival Time: *
Contact First Name: *
Contact Last Name: *
E-mail: *
School Name: *
Address 1: *
Address 2:  
City: *
State: *
Zip Code: *
Contact Phone Number: *
Extension Number:  
Best Time of Day to Contact You: *
Fax Number: *
Type of Group: *
If other, please describe:  
Estimated Number of Students: *
$4 Each  
Number of Required Adults: *
1 Adult required for every 10 students  
Additional Adults: *
$8 each  
Number of Train Rides (seasonal):  
2$ each  
Are you interested in an Education Program: *
The cost per education program is $45. (Maximum of 50 guests per program)  
Preferred Time of Program:  
Times are available on a first come, first serve basis. If you have requested more than one program, your programs will occur back to back, every half hour.  
Payment Preference: *
To receive discounted admission rates: We require one payment via check, credit card or purchase order. Parents wanting the discounted admission price need to be included as additional adults and their payments must be included with your payment. Memberships are not applicable for school field trips.  
Purchase order number:  
If you are paying via purchase order, please provide the purchase order number.  
Billing School/Organization: *
Billing Address 1: *
Billing Address 2:  
Billing Address City: *
Billing Address State: *
Billing Address Zip Code: *
Billing Phone Number: *
Special Needs / Notes:  
 
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