BREC's Baton Rouge Zoo - The #1 Family Year-Round Attraction in Baton Rouge!


Today's Date
Contact Name	First and Last
School/Organization Name
Address
City
State
Zip
Primary Phone
Alternate Phone
Fax
I prefer to be contacted by:	Phone Fax Email
If Phone, type in best time to call.

Requested Field Trip Date	Reservations must be made at least 14 days in advance.
Time	Zoo front gates open at 9:30 a.m. daily.
# of students
# of adults	We require at least one adult chaperone per 10 children.
Grade Level

Let us know if you would like to enhance your field trip with one of the following:
We'd like to schedule a private Ed-ZOO-cation program during our visit.	Yes No Education programs are $30 per program.
If Yes, please fill out an Ed-ZOO-cation program request form located on the Field Trip webpage.

We'd like to pre-order food from the Flamingo Cafe.	Yes No
If Yes, please fill out a Flamingo Cafe order form located on the Field Trip webpage.

We'd like to ride the train during our visit.	Yes No

Please read and sign:
As representative of my Group, I have read, understand and agree to the terms specified by the guidelines of this agreement. I understand that submission of this form does not guarantee a trip reservation and that I will receive confirmation from the Zoo's Education Department to complete this reservation. Acceptable forms of payment for Zoo Field Trips include cash, check, Visa or MasterCard.
I Agree to the Field Trip Terms	Agree


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