ZooLab Registration

Central Florida Zoo Fourth Grade ZooLab

Complete this form and return it AS SOON AS POSSIBLE to insure you will get your choice of dates. Please schedule at least two weeks in advance. Arrival time at the Zoo should be 10:00 am. IF THIS IS NOT POSSIBLE, PLEASE INDICATE THE EARLIEST THAT YOU CAN ARRIVE.

*required field

ATTENDEE INFORMATION

School:

County:

Address:

City:

Zip:

Contact Person :

Phone:

Email*:

Total number of 4th
Grade Classes:

First Choice Date:

Number of Classes:
(Schedule the maximum number of classes
up to four that can attend this day)

Alternate Date:

Remaining Classes Date:

Number of Classes:

Alternate Date :

FIRST GROUP

# of Teachers:

# of Chaperons:
(at least one per five students
5 additional chaperons max.)

Teachers' Names:	1	# of Students:
	2	# of Students:
	3	# of Students:
	4	# of Students:

SECOND GROUP

# of Teachers:

# of Chaperons:
(at least one per five students
5 additional chaperons max.)

Teachers' Names:	1	# of Students:
	2	# of Students:
	3	# of Students:
	4	# of Students:

SPECIAL REQUIREMENTS

Please note any special requirements, such as wheelchair needs: