School Form Part 1: SCHOOL INFORMATIONName of School Contact Teacher Teacher CellTeacher's Email Grade Level School Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Part 2: TRIP INFORMATIONDate of Field trip Rain Date Arrival Time Departure Time Educational Presentation Time Number of Children Number of Teachers Number of Chaperones: Minimum park requirement: 1 chaperone for every 10 students $14.00 students (under 18 years of age) • $25.00 Adults/Chaperone (18 years and up) • Teachers- FREE ADMISSION • 1 paid Chaperone (required for every 10 Students)Part 3: FIELD TRIP ADD-ON’SBOAT RIDES: $5.00 PER RIDE: How Many Quantity Price: $5.00 Quantity SAFARI TRAIN RIDE: $4.00 PER RIDE (KIDDIE RIDE): How Many Quantity Price: $5.00 Quantity CRITTER FOOD: $5.00 EACH OR 2 FOR $8.00: How Many Quantity Price: $5.00 Quantity CARROT CUP FOR GIRAFFE FEEDING (WEATHER OF 50° OR WARMER) $5.00 PER CUP: How Many Quantity Price: $5.00 Quantity SAFARI TRAM RIDE: $10.00 PER RIDE (30 MINUTE RIDE): How Many Quantity Price: $10.00 Quantity LUNCH: (KLEMENTS HOT DOG, BAG OF CHIPS, COOKIE & SODA $10.00 PER PERSON): How Many Quantity Price: $10.00 Quantity **please note that we have a 4% surcharge on all credit card transactions.** Total
