2. Name of Requestor*
4. Phone Number *
5. Email *
7. Tax Exempt Number (if applicable; if not, enter NA))
9. Billing Representative/School Secretary name, email and phone number.*
11. Name of School or Organization*
13. Address
15. City
16. State
17. Zip Code
19. Grade
20. School District
22. Adults 13-61 (Estimate is OK)*
23. Children 3-12 (Estimate is OK)*
24. Kids 2 and Under (Estimate is OK)
25. Seniors (Estimate is OK)
27. Note:

    The Idaho Falls Zoo is open from 9:30 AM-5:00 PM. Fieldtrip times CANNOT start before 9:30 AM. There is no guarantee that your requested date and time will be available. You will be notified via email about updates from us about your zoo visit.

28. 1st Choice - Date & Time of Visit *
    1st Choice - Date & Time of Visit

    1st Choice - Date & Time of Visit
29. 2nd Choice-Date & Time of Visit*
    2nd Choice-Date & Time of Visit

    2nd Choice-Date & Time of Visit
31. Are you interested in an educational program during your visit? (additional charges will apply)*

    1. Yes

    1. No
33. Additional Comments
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field