Regular Homeschool/Adult Day Care

Unregistered Homeschool/Adult Day Care Groups

First Name

Last Name

Email

Phone

Fax

Requested Date

Arrival Time

:

Homeschool Group Name

Teacher name/Point of Contact

Principal/Director Name

Street Address

City

State

Zip Code

Number of Students Age 3 - 12

Number of Adult/Chaperone Attendees Age 13+

Please include your Facebook and Instagram page

Grades Attending

Are there any nut allergies?

Yes

No

I understand there is a 4% fee for all credit and debit card transactions.

I understand that in order to receive the group discount, I need a minimum of 30 paying guests age 3 and up.

I understand that the group discount pricing is $30 per adult (age 13+) and $15 per child (age 3-12) children 2 & under are free.

Homeschool group agrees to provide Wildlife World Zoo with our homeschool group's social media page information and anywhere that we will be advertising the outing, and add Wildlife World Zoo to the group when access is requested.

I agree that I will not charge anyone in our group that is attending our scheduled event more than Wildlife World Zoo charges for group admission. ($30 age 13+ and $15 age 3-12)

As the homeschool group organizer, I agree that if anyone in our group would like to utilize ESA for their field trip, I agree to provide them with any payment documentation needed for ESA reimbursement for payments made directly to the organizer of the group in advance of our visit. I understand that Wildlife World Zoo offers field trip and group discounts to groups and is not able to provide individual receipts.