2. 
4. On-Site Group Reservation Form
6. Name*
7. Email Address*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Organization/School
20. Date/Time you would like to have the Tour*
    Date/Time you would like to have the Tour

    Date/Time you would like to have the Tour
21. # of Attendees*
23. Alternate Date/Time #1
    Alternate Date/Time #1

    Alternate Date/Time #1
24. Age Range of Attendees*
26. Alternate Date/Time #2
    Alternate Date/Time #2

    Alternate Date/Time #2
27. Would you like to book a Keeper Chat? *

    1. Yes
    2. No
29. Additional Information

    All Keeper chats must be scheduled at least 1 week in advance. Chats will be held at the start of the group visit.  Please meet the zookeeper at the DeMoon Family Pavilion (just inside the zoo entrance) at your designated time. You will receive email confirmation of your request.

    After the keeper chat is complete, groups will be able to experience the zoo independently.

    Groups that need to cancel or reschedule should email [email protected].

31. Other information/notes
35. I understand that the Phillips Park Zoo staff will do their best to provide an educational and fun program. I understand that the program may be cancelled due to weather conditions, staffing constraints, or emergencies at the zoo. Zoo staff will do their best to contact me if a problem arises and will reschedule the program.
37. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Electronic Signature
41. The Phillips Park Zoo is a free zoo. We offer educational programs as part of a community service. If your group would like to help the zoo to continue to improve its education and conservation programs, or general care of the animals we do accept tax deductible donations through the Animal Adoption Program (https://www.aurora-il.org/1935/Animal-Adoptions)
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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field