PRE-REGISTRATIONBEHIND THE SCENESBehind-The-Scenes Program RequestPlease enable JavaScript in your browser to complete this form.Contact Name: *Address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutPhone Number: *Are you a John Ball Zoo Member? *YesNoEmail: *Member Number:Desired Dates and TimesPlease give at least 3 possible dates and times for ease of scheduling.Layout (copy)Date / Time *DateTimeDate / Time *DateTimeDate / Time *DateTimeProgram Choices:Please check the program(s) you are interested in attending:LayoutProgram:Aquarium Tour$15/person for zoo members$25/person for non-members.Minimum of 4 participants per program. Available 7 days a week at 9:30 am or 2 pm.LayoutProgram:Brown Bear Encounter$50/person for zoo members, $60/person for non-members.Minimum of 2 participants per program. Available Wednesday, Thursday, Friday, or Saturday 30 minutes prior to opening (8:30 or 9:30 am).LayoutProgram:Penguin Encounter$300/group for zoo members, $350/group for non-members.Maximum of 4 participants per group. Available Monday, Wednesday, or Saturday at 1 pm.LayoutProgram:Penguin Feeding$150/persom for zoo members, $160/person for non-members.Maximum of 1 person. Available Thursday, Saturday, or Sunday at 10:30 am or 3 pm.Layout (copy)Program:Red Panda Encounter$250/person for members and non-members.Maximum of 2 participants per program. Available Tuesday, Saturday, or Sunday 30 minutes prior to zoo opening. Requires masks & gloves.Participants on ReservationChildren 12 and under must be accompanied by a paying adult. Please choose the number of participants attending, as well as their ages (if they are 12 or under).Number of Adults *Number of Children *Children's ages (if 12 or under)Do any of the participants have allergies to the following?LatexVinylFish HayNutsOtherPlease list any other allergies:Enter any medical or special needs for participants:Additional Information/Comments: *Payment is due at the time of program confirmation. Admission to the zoo is included in the cost of your program.To register for a behind-the-scenes program, please submit this form. After we receive your request, we will contact you to further discuss a date for your program. Requirements vary depending on program.SUBMIT REQUEST FORM
