Aventuras National Zoo 2017 Field Trip Form

Aventuras is headed to the National Zoo!

Thursday, September 21, 2017 - 10:00 am to 4:00 pm

Smithsonian National Zoo
3001 Connecticut Ave. NW
Washington DC 20008

Child's Name

First NameLast Name

Permission

Transportation

Please let us know if you plan to bring siblings, grandparents, etc. We will do our best to accommodate based on availability. There will be an additional fee for trips that require tickets.

How many additional children will you be bringing?

How many additional adults will you be bringing?

Please list the name of the adult chaperone.

First NameLast Name

I am able to chaperone additional children on site.

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Area CodePhone Number

Please indicate any special instructions.

I authorize for my child to receive medical attention in the case of an emergency.

Name of the parent/guardian completing this form.

First NameLast Name

Email of the parent/guardian completing this form.

Field Trip Fee