Please fill out the following form

 

What program are you requesting?
“Engineering for Animals: Exhibit Design & Beyond” (60 minutes)“Engineering by Animals: Inventive Nature” (60 minutes)“Zoo Food for Thought” (50 minutes)

How will you be connecting with us?
Room System/H.323 CodecSoftware (Jabber, Vidyo, FieldTripZoom, etc)Not sure? Email [email protected] to discuss options!

If you would like to schedule multiple programs at once with this form, just fill in all three requested date/time fields below and use the 'additional information' field near the end of the form to specify which programs you'd like on which dates (if the programs are different)

1st requested date (required): (If using IE or FireFox date format yyyy-mm-dd)
Time

2nd requested date Time

3rd requested date

Time

If you haven’t had a video conference with the Minnesota Zoo in the last 6 months, please list two dates & times you (or your technology staff) would be available for a quick, 5-10 minute test connection:

1st test connection date & Time:

Time

2nd test connection date & Time:

Time

Your school or organization(required):

Contact person requesting program (required):

Email (required):

Contact phone number prior to program:

Contact phone number during test and program(required):

Person to receive program materials (if different than requestor):

email

Grade level or type of audience
Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th gradeHigh SchoolPost-secondary & adultsSpecial needs primarySpecial needs secondarySeniorsMixed-ages primaryMixed ages secondary/adultsAll-ages

Number of participants- minimum 5, maximum of 40

Additional information (optional):

Billing contact person (if different than program requestor):

email

Billing address

When you hit ‘submit’, you should receive an automated request confirmation email within 10-15 minutes. If you don’t, please check your junk email filter. Our program coordinator will contact you by email with 2-4 days to either confirm your booking or request alternate dates and times if your 1st, 2nd, and 3rd choices are unavailable.