EDUCATIONVISIT THE ZOOSchool Group Registration FormPlease enable JavaScript in your browser to complete this form.School InformationName of School *School Mailing Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code----------Primary Contact Person Organizing the Zoo VisitFirst and Last Name *FirstLastLayoutEmail Address *Phone Number *----------Visit DetailsDate of Visit *LayoutArrival Time **Opening times vary by date, please check the Zoo Calendar prior to booking.Depart Time *Traveling by *Select from listBusCarOtherNumber of Busses *12345678910Grade level(s) *Pre-schoolKindergarden 1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCollege / AdultLayoutNumber of Classes *Number of Students *Number of Teachers / Bus Drivers / Para-Pros *----------Add ChaperonesOne free chaperone is permitted for every five students. Any additional chaperones will be charged the normal adult admission rate (see *hours and admission link* for details).LayoutNumber of Free Chaperones *Number of Paid Chaperones *----------Add a ProgramSelect Program *Wild EncounterExhibit DesignPenguineering Zoo CareersTracking with TechNo ProgramFor Wild Encounter, please select one for the following topics (for a full description of topics, please Click Here. Custom programs may be available upon requestPre-School - KindergartenSelect topicn/aBody CoveringsMichigan WildlifeAnimal Essentials/NeedsAnimal Senses1st-3rd GradeSelect topicn/aAnimal ClassificationGrowing Up WildHabitats4th Grade and AboveSelect topicn/aAnimal AdaptationsPredator-PreyEndangered Species/ConservationPlease select what time you would like your program to start: Please select two back-up dates for ease of schedulingBackup Date #1 *Backup Date #2 *Do any of the students in your group have any needs we should be aware of? *YesNoPlease Specify Special NeedsAdditional CommentsBus ScholarshipJohn Ball Zoo is pleased to offer Title 1 qualifying schools a bus scholarship for the 2023 Spring Field Trip Season. These scholarships are on a first-come, first-served basis. By submitting for a scholarship you acknowledge that 40% or more of the students at your school (NOT DISTRICT) qualify for free or reduced lunch. One bus scholarship will be granted per school for the spring 2023 season until funds are depleted.Please Note: A check will be sent to the school AFTER the date of the field trip. Checks may not be sent to personal addresses or individuals.$100 Scholarship â Schools within 30 miles of the Zoo $200 Scholarship â Schools 31 miles or more from the ZooWould you be seeking additional funding if it were available? *YesNoSubmit
