Metro Richmond Zoo

  Customer Information

  Other Information

Number of Train Tickets ($3.00 each)

Number of Carousel Tickets ($1.50 each)

One pavilion reserved for a picnic lunch?

-- Select -- Yes No

Number of Zoo Treat Cups (Regular Size: 16 oz - $3.00 each)

Number of Small Zoo Treat Cups (Sample Size: 3 oz - $0.60 each)

Number of Budgie Sticks ($2.00 each)

Number of Sky Lift Tickets ($3.00 each)

Form of Payment

-- Select -- Cash Check Credit Card (+0.50¢ per ticket)

Notes

School Phone Number

Alternate Date #1

Alternate Date #2

Departure Time

-- Select -- 11:00 AM 11:15 AM 11:30 AM 11:45 AM 12:00 PM 12:15 PM 12:30 PM 12:45 PM 1:00 PM 1:15 PM 1:30 PM 1:45 PM 2:00 PM 2:15 PM 2:30 PM 2:45 PM 3:00 PM 3:15 PM 3:30 PM 3:45 PM 4:00 PM 4:15 PM 4:30 PM 4:45 PM 5:00 PM

Number of Students

Number of Chaperones

Number of Teachers/Staff

Grade Level(s)

Transportation

Buses

Mini Buses

Vans

Cars

Number of Buses

Zoo Life Education Program? (Requires 25 K-12 students. School year only)

-- Select -- Yes No

Number of Classes

Number of Mini Buses / Vans

What is your organization?

What is your department at your organization?

School Address