VIP - Private Rocky Coast Family Tour 2023

* How did you learn about this event?

If you answered "Other" above, please provide details here:

* Purchaser's name:

* How should purchaser be addressed?

* Please select the month you prefer for your private tour:

* Please list three specific dates acceptable for the month selected above:

* Are you an NC Zoo Society member?

If "Yes," please enter your Member ID number below (leave blank if unknown):

If "No," check this box and complete next two fields to claim free Family/Grandparent Membership:

For free Family/Grandparent Membership - enter name of second adult:

For free Family/Grandparent Membership - select number of children (under 17) included:

* How many people will be in your group? (Maximum: 6):

Please list the first names and ages of children under 17 in your group:

Non-members WILL need tickets to enter the Zoo. Do you want to buy those tickets now?

If you answered "yes," how many Adult tickets? ($13 each; ages 13-61):

If you answered "yes," how many Children tickets? ($9 each; ages 2-13):

If you answered "yes," how many Senior tickets? ($11 each; ages: 62 & up):

* What email address should we use to confirm your group's reservation?

If this tour is a gift, please provide recipient's name:

If this tour is a gift, what email address should we use to confirm tour date?

If this tour is a gift, what email should we use to confirm meeting place?

If this tour is a gift, please let us know the reason for the gift:

* What phone number should we use to contact the ticket holder on tour day?

Are there any health/mobility issues among your group we should be aware of?

If "Yes," please describe those issues:

Special Instructions:

Purchaser's name:

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