Field trip registration form 2012

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					                                                                     Houston Zoo
                                                             Field Trip Registration Form
                                                                                                                                     Date
School Name                                                                               School District                          Grades
Address
City                                                                                                  State                            Zip
Contact Name                                                                                          Email
Phone                                                                                                  Cell                           Fax
School Secretary                                                                                      Email

What date would you like to visit the Zoo?                                                                                       First preference
                                                                                                                                 Second preference
                                                                                                                                 Third preference
What is your estimated time of arrival to the zoo?                                     (select from list)


                                                                     General Admission Tickets
Teachers and Chaperones                                                                                               Quantity       Price      Total
Free teacher/chaperone (1:5 PreK; 1:10 K-12)                                                                                         $0.00      $0.00
Paid adults                                                                                                                         $11.00      $0.00
Title I Schools &/or Inside Houston City Limits                                        (Monday - Thursday only)
Students: Grade PreK                                                                                                                 $0.00      $0.00
Students: Grade K-5                                                                                                                  $0.00      $0.00
Students: Grade 6-12                                                                                                                 $0.00      $0.00
All Other Schools                                                                      (Min. 20 for group discount)
Students: Grade PreK                                                                                                                 $8.00      $0.00
Students: Grade K-5                                                                                                                  $8.00      $0.00
Students: Grade 6-12                                                                                                                $11.00      $0.00

                                                               Field Trip Additions
                                **All classes, programs and 4D show times will be assigned based on arrival time.**
Adventure              Adventure Classes are 45 minutes in length for K-12 classes and 30 minutes for Pre-K classes. Up to two Adventure
Classes                Classes can be conducted at the same time with a maximum of 33 participants per class including teachers and
                       chaperones. Please note in the quantity box below the total number of participants for your desired classes, and the number
                       of classes needed will be assigned based on the total number of participants.
                              1st Program                     2nd Program                                             Quantity       Price      Total
                                                                                                                                     $4.00      $0.00
                              3rd Program                     4th Program


Assembly               Assembly programs are 30 minutes in length. Only one assembly program can
Program                be conducted at a time with a maximum 297 participants including teachers and                                 $2.00      $0.00
                       chaperones.

4D Experience          Shows are 15 min in length, with the stunning visuals of a 3D movie and added effects such as bubbles, scents and mists.
                       4D Show
                                                                                                                           $2.00       $0.00

Carousel Tickets                                                                                                                     $1.25      $0.00

Box Lunches (All lunches require pre-ordering and pre-payment and include chips, cookie, and juice box)
Kiddy Hot Dog      Pick Up Time                                                                                                      $4.99      $0.00
PB and J                                                                                                                             $4.99      $0.00
Souvenirs
Conservation Hero Button                                                                                                             $1.00      $0.00
Conservation Hero Bracelet                                                                                                           $2.00      $0.00
Conservation Hero Combo Pack (Button & Bracelet)                                                                                     $2.50      $0.00
                  Pick Up Time


Shipping & Processing Fee                                                                                              1             $5.00      $5.00
TOTAL AMOUNT DUE                                                                                                                          $5.00
                                                            Policies and Submittal Instructions
General Information: Registration form and payment must be received 3 weeks prior to your first date preference. If payment is not received in
full by this date, your field trip will be cancelled. Tickets are mailed upon receipt of payment. A $5 shipping and processing fee is added to every
order.
Submittal Instructions: Email your completed registration form as an email attachment to group.reservations@houstonzoo.org. To send go to
File, Send To, and select Mail Recipient (as attachment). You may send your registration via fax: 713-533-6783. Your visit is not guaranteed
until the contact person receives a confirmation form via email.
Payment: Please do not submit payment until you have received a confirmation of your date of visit. Instructions for submitting payment will be
included in the confirmation form once your visit date has been approved.
Cancellation Policy: Tickets are non-refundable. In case of a group cancellation, tickets may be used for general admission up to three
months after the program date. There are no refunds or exchanges.

				
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