Supervisory Care and Special Needs Groups Organization Form

Have you visited the Phoenix Zoo with this group before?(Required)

Yes

Name of Organization(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Fax(Required)

Website(Required)

Description of services provided by organization(Required)

Does your organization have 501(c)(3) non-profit status?(Required)

Yes

Preferred date of visit(Required)

Alternate date of visit(Required)

Onsite Contact(Required)

First Last

Title of onsite contact(Required)

Email of onsite contact(Required)

Phone number of onsite contact(Required)

Emergency phone number

Number of child tickets (age 3-13)(Required)

Number of adult tickets (age 14+)(Required)

Number of Safari Cruiser Tickets* (additional $2.00 per person)

*Safari Cruiser can accommodate up to 40 individuals and one wheelchair per tour. Groups of 40 or more and those that require more than one wheelchair (individuals that can be transferred by a supervisor onto the Cruiser do not apply) need prior approval to accommodate request. Reserving a time for your tour(s) must be done day of at Guest Services or Safari Cruiser Station.

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Supervisory Care and Special Needs Groups Organization Form

Supervisory Care and Special Needs Groups Organization Form