Wild Walk Request Form

*Organization Name:

*Type of Organization:

(school, daycare, scouts, etc.)

*Organization Street Address:

*Organization City:

*Organization State:

*Organization Zip Code:

*Organization County:

*Main Contact First Name:

*Main Contact Last Name:

*Main Contact Email:

*Main Contact Phone:

*Are you a tax exempt organization?

Yes

No

Not Applicable

*Are you a Title 1 School?

Yes

No

Not Applicable

*How did you hear about the Wild Walk program at Zoo Atlanta?

Please select all that apply.

Experiences