Are you ready to have the Zoo come to you?

    Step 1: Please provide us with your contact information.
    First Name
    Last Name
    Email

    Please describe your role:

    Daytime Phone
    Other Phone
    Organization or School Name
    Organization or School Street Address
    City
    State
    Zipcode
    Step 2: Dates and Times

    Please select your top three dates and times for the ZOOmobile to visit. Note: We recommend submitting your request at least 8 weeks in advance because availability is limited and our calendar fills up quickly. We are able to schedule up to a year in advance, and contacting us early will help to ensure that we find a date that works.

    1st choice
    Time
    2nd choice
    Time
    3rd choice
    Time
    Step 3: Which of the following best describes your audience/location?

    Please let us know how many children of each age will be in attendance:*

    Note: We do not see children under 2 years of age.

    2-year olds
    3-year olds
    4-year olds
    5-year olds
    Kindergarten

    Is this a Title I school?*

    Please let us know how many children of each grade will be in attendance:*

    1st grade
    2nd grade
    3rd grade
    4th grade
    5th grade
    6th grade
    7th grade
    8th grade
    9th grade
    10th grade
    11th grade
    12th grade

    Are you working on any specific curriculum or units that you would like the program to support?*

    Please describe:*

    What type of program are you interested in?

    Which program style are you interested in?*

    Approximately how many children are you expecting (ages 2 to 4)?*

    Approximately how many total participants are you expecting (including children and adults)?*

    Which program style are you interested in?*

     

    Approximately how many adults are you expecting?*

    Please let us know how many children of each age will be in attendance:*

    Note: We do not see children under 2 years of age.

    2-year olds
    3-year olds
    4-year olds
    5-year olds
    6 to 10 year olds
    11 to 18 year olds

    Approximately how many adults are you expecting?*

    What is the (approximate) age range of your group?*

    Please identify the type of space the program will be in.* Please Note: For an audience of more than 35 people we require a larger space than a classroom.

    If other, please describe the space and its size:*

    Does the space where the program will be held have air conditioning and/or heat?* (Select all that apply)

    Would you be interested in hearing about our optional partner packages? Each package includes a visit from one of our penguin ambassadors or a visit from one of the live Baltimore Ravens mascots, Rise or Conquer.* Note: Additional fees apply.

    Step 4: Tell us about any special needs your group has:

    Is your facility nut free?* Note: Some of the animal ambassadors eat peanuts or other nuts during programs. Only Zoo staff handle animal diets.

    Please include any additional questions or comments you may have: