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Are you filling this form out on behalf of a school or organization?
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School
Organization
School Name
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Title I?
(Required)
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Address
(Required)
Street Address
Address Line 2
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State
ZIP Code
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(Required)
Contact Name
(Required)
First
Last
Contact Email
(Required)
Contact Phone
(Required)
Scheduling Information
First Date Choice
(Required)
must be at least 2 weeks from the current date
MM slash DD slash YYYY
Second Date Choice
(Required)
must be at least 2 weeks from the current date
MM slash DD slash YYYY
Preferred Time of Program
(Required)
(for first date choice)
Hours
:
Minutes
AM
PM
AM/PM
Do you need to specify a different preferred time for your second date choice?
(Required)
Yes
No
Preferred Time of Program
(Required)
(for second date choice)
Hours
:
Minutes
AM
PM
AM/PM
Reservation Information
To be considered for some programs, you must have at least 10 people. We do make some exceptions for special needs groups and larger digital programming, though it may affect the fee invoiced upon confirmation (custom programming commonly is priced at $250, but this is not guaranteed).
Zoo to You Outreach visits are limited to a travel distance of 50 miles and total time of 3 hours away from the Zoo (this includes travel and set-up time).
Scholarship awards may cover the cost of single programs in certain circumstances. Education staff will review pricing and invoices during the confirmation process.
Program Choices
Program scheduling is first come, first served dependent on staff availability and animal schedules. You will not be asked to submit payment with this form. Pricing will be finalized after booking is confirmed.
Which type of program would you like to schedule?
(Required)
Digital Discovery Program (remote digital programs)
Zoo to You Outreach Program (in-person programs)
Digital Discovery Programs
Programs may be accompanied by Zoom FAQ information, Pre/Post lesson materials, and evaluation survey.
Program Length
# of Students
Price
30 to 45 minutes
Up to 25 students
$75 (Each additional same-day program $60)
1 to 1.5 hours
Up to 25 students
$125 (Each additional same-day program $60)
Chosen Program
(Required)
Select a Program
Zoo Careers
Ask The Zoo
It's Alive
Creature Copycat
The Dirt on Dirt
Super Senses
A Case for Conservation
The Role of Genetics
Changing World, Changing Species
Preferred # of Students Attending
(Required)
This is a fee-based program. Please do not include Teachers/Chaperones in this count.
Grade Level of Students
(Required)
Zoo to You Outreach Programs
# of Students
Price
Up to 30 students
$150 (Each additional same-day program $60)
31 to 120 students
$250 (Each additional same-day program $150)
Festival
First Hour $200 Second Hour $150
Distance (miles) from the Zoo
(Required)
Number of Hours Preferred
(Required)
(max of 3 hours)
Please enter a number less than or equal to
3
.
Is this for a classroom or a festival?
(Required)
Classroom
Festival
Type of Lesson
(Required)
Select a Lesson
I have something specific in mind
General Animal Demo
Zoo Careers
Ask the Zoo
It’s Alive
Creature Copycat
The Dirt on Dirt
Super Senses
A Case for Conservation
The Role of Genetics
Changing World Changing Species
Inside Out Dissection Class
Fur Feather Shell
Fear to Fascination
ZooperHeroes
Seedy Side of Animals
What did you have in mind?
(Required)
Preferred # of Students Attending
(Required)
This is a fee-based program (Please do not include Teachers/Chaperones/Bus Drivers in this count).
Grade Level of Students
(Required)
Is this for a special needs groups?
(Required)
Yes
No
Inside Out Dissection Class - 1st Choice
(Required)
Select an Animal
Fish
Frog
Snake
Rat
Inside Out Dissection Class - 2nd Choice
(Required)
Select an Animal
Fish
Frog
Snake
Rat
Due to the amount of students anticipated to attend this program, anticipate a fee of $150.
Due to the amount of students anticipated to attend this program, anticipate a fee of $250 for the first program and $250 for each subsequent same-day program.
Due to the amount of students anticipated to attend this program, anticipate a fee of $200 for the first hour and $150 per hour for each subsequent hour.
How did you hear about us?
(Required)
Online
Email
From your School/Organization
Teacher Professional Development
Scholarship Program
Other
(check all that apply)
Terms of Service
(Required)
All Digital Discovery Programs must be paid for in full two weeks before their scheduled date. Programs that are not paid by this time will be canceled.
Zoo to You Programs may be paid for in advance or at the time of the program via check.
Birmingham Zoo requires that the contact individual be authorized by the organization to book this reservation.
The contact individual is responsible for advising all other adult chaperones on policies, terms, and conditions outlined in the invoice notes received upon confirmation.
The Birmingham Zoo may take photos and/or video of all group participants. The Birmingham Zoo may use the photos and/or videos for publicity purposes (unless specified otherwise by participants). If you would like to opt out, please let the Education department know via e-mail.
To confirm your program, you must coordinate with the Education department once they reach out to you. Confirmation only takes place upon receipt of an invoice. If a scholarship recipient, your invoice will denote no payment due, but is still a part of the process.
I agree to the above Terms of Service and understand more specific terms will be included in my confirmation invoice.