Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred date for reservation *

MM

DD

YYYY

If your dates are flexible, please choose a second choice date for your reservation.

MM

DD

YYYY

Which animals are you interested in learning about? *

Bunnies

Ducks

Chicks

Hamsters

Guinea pigs

"Long Bunnies" (Domesticated Rats)

Special needs animals

Would you be interested in having goats at your event? *

Please note: Events including goats are available at an additional cost and are limited to 1 hour outdoor events for up to 20 participants within 20 miles of Hillburn, NY.

Yes

No

What type of program are you interested in scheduling? *

Caring for animals

Farm life

Homesteading

Nature conservation

Other

Age group of participants: *

Kids 0-3

Kids 4-8

Kids 9-12

Teens 13-19

Adults