Please fill out the form below as completely and accurately as possible. After you submit the form, you will receive an email confirmation containing all of the information you have provided. A representative from the zoo will call you one week before your visit to finalize the plans for your group. Thank you for planning your trip to the Plumpton Park Zoo.

Date of Visit *
Rain/Alternate Date *		Please select an alternate date in case your first choice isn't available or needs to be rescheduled due to weather.
Arrival Time *	10:00am10:30am11:00am11:30am12:00pm12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm
Contact Person (Title)
First Name *
Last Name *
Organizations Name *
Mailing Address *
City *
State *
Zip *
Phone *
Email *
Best time to call? *
Type of Organization	Public School Private School Day Care Camp Program Head Start University or College Home School Party Other
Other		If Other Please specify.
Grade Level
# of Students
# of Teachers
# of Chaperones		(The Zoo requires 1 Chaperone for every 10 students)
Transportation	Cars Vans Buses	Please select your type of transportation
How Many Vehicles?	12345 6 or more
Picnic Tables	YesNo	Would you like to reserve our picnic tables?
Guided Tour	YesNo	If you would like a tour of the zoo during your visit, please indicate so here. There is an additional $32 charge for tours.
Email Mailing List	YesNo	Would you like to be added to the Zoo's email mailing list so that you can be notified about news & special events?
Type the visible letters in the box below
Submit