Zoomobile Outreach Reservation

Contact Information

  

  

  

  

  

  

*Zoomobile programs available September to mid-April only.

Zoomobile Program : First Choice

Program:  
for   : 

Date Reservation Options (mm/dd/yy):    

Preferred Time Ranges (list multiple options):

 

Number of students or participants:


Zoomobile Program : Second Choice

Program:  
for   : 

Date Reservation Options (mm/dd/yy):    

Preferred Time Ranges (list multiple options):

 

Number of students or participants:


Zoomobile Program : Third Choice

Program:  
 : 

Date Reservation Options (mm/dd/yy):    

Preferred Time Ranges (list multiple options):

 

Number of students or participants:


Payment Options

Please select one:
Our school is paying for our program and we will submit our payment 2 weeks prior to the date of our program.
Our school is considered a Head Start center and would like a 25% discount sponsored by United Way. Our school will pay the balance.
Our school would like to participate in the SHOP 'n SAVE SEED program. We will have $250 worth of spending per student for SHOP 'n SAVE to sponsor our program.
Our school has connected with a PPG employee, and we have been approved for a PELC Grant.


Travel Information

Distance between the Zoo and your facility:
Approximate travel time from the Zoo to your school/facility:
Have we ever been to your school before? Yes No


Questions or Comments?

 



Please review the appropriate program brochure(s) for program descriptions and pricing details. *If an online form has been submitted, do not mail or fax a second form as this will result in two seperate bookings.

Preschool
K-12
Afterschool
Adult
Summer
Preschool SEED 
K-12 SEED

By checking this box and submitting this form, I acknowledge that I have read over the appropriate pricing information for the program(s) I am interested in reserving. I understand:

  • If I submit an online reservation form, I am not to mail or fax in a duplicate form.
  • It may take up to seven days to process this form.
  • I am not to send money for the reservation until this form has been processed and I receive an e-mailed confirmation or I am contacted by the Reservations Office to complete the reservation details.