Virtual Live on Location Form

Live On Location Request Form (Virtual)

To request a Phoenix Zoo Virtual Outreach program, please complete the form below. Within 3 business days, someone from our Reservations Team will contact you by email to confirm program availability or request alternate dates/times. Once your program is confirmed we’ll schedule a time to call you to receive payment. Questions? Email outreach@phoenixzoo.org

Name*
First Last
Email*
Phone*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of School or Organization*
Name of District*
Grade/Age of Participants*
What date(s) would you like to schedule your Virtual Outreach program?*
Time*
How many participants in your group?*
Do you have any cultural animal restrictions with your group? The most common examples of this are the inability to see snakes or owls due to cultural or religious beliefs.*
Please indicate which topic you would like. Full topic descriptions are listed on the website.*
Scholarships are available for Arizona Department of Education designated Title I schools (grades K – 12) that have 50 percent or more of their enrollment on a free or reduced lunch program. Our scholarship fund is limited and at this time we are only able to allow one free program per qualifying school. Scholarships are available to qualifying schools on a first-come-first-served basis while funds last. *Would you like to be considered for a ZooReach Scholarship for this program? Please note, only qualifying schools are eligible to receive this scholarship. A member of our Reservations Team will verify your eligibility and confirm this with you when confirming your request.*
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Virtual Live on Location Form

Live On Location Request Form (Virtual)