Submit A Educational Booking Request

Please fill out the form below to submit an educational booking request. For information regarding our curriculum compliant programs, select the appropriate grade(s) from the drop down menus under the education heading on the left side of the screen. Although we make every effort to give you the time and date your requested, submitting this request does not guarantee the booking. We will contact you directly via email or phone to confirm that the date and time you requested is available. You will then receive a faxed or emailed confirmation of your booking.

How did you find out about Reptilia?

Location: You may choose to visit Reptilia or have us provide curriculum compliant lessons at an offsite location such as your school.

Reptilia

Onsite

Another Location (Offsite)

Date:

Start Time:

Contact Information:

Contact Name:

Phone Number:

Fax Number:

Email Address:

School Name:

School Address:

City/Town:

Postal Code:

Program Details:

Number of Classes:

Number of Students:

Grade:

Lesson:

Additional Comments/requests

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