Community Booth Request Fields with a red dot ⏺ are mandatory. Contact Information Name of Primary Contact Name of School or Group Address City Telephone Number Please include area code. For example 505-500-5000. Email Address Community Booth Information Type of Event Community Center/Library Outdoor Special Event STEM Event run by School Other, please provide details If you selected "Other" on the question above, please specify below. Program Requested Saving our Bosque How Do I Grow? Reproduction of the Fittest Group Survival Wild Cats and their Prey Beneficial Bugs We encourage you to remain flexible in order to meet the needs of your event and our animals. Event Date If the date is flexible, please provide three (3) date options Program Start Time Program End Time Location Within 25 miles of Albuquerque City Center 25 – 50 miles from Albuquerque City Center 50 – 100 miles from Albuquerque City Center Over 100 miles from Albuquerque City Center Method of Payment Need PO Credit Card Check Will financial assistance be needed? Yes No If financial assistance is needed, please answer all of the questions in the section below. Financial Assistance Questions If you answered yes to the question above, please complete all of the questions below. What County? What School District? List your organization's participation in public or private assistance programs and/or provide us with an understanding of your financial need. Examples include Free and Reduced Lunch, Medicare/Medicaid, Aid to Families with Dependent Children. Why do you want your class to participate in the Discover the BioPark Program? How will this field trip or classroom visit connect to your classroom lessons? Captcha Submit Please confirm all required fields are populated before submitting your form. Fields with a red dot sup>⏺ are mandatory. Your form is not submitted until you click the Submit button and see the confirmation page which includes a recap of your completed form fields.
