Expedition Request Form
Please use the form below for Wildlife, Extended, and Overnight Expeditions only.
Simply enter the information for your group and press Submit. Rolling Hills Education
Department will contact you to confirm your requested program date.

Contact Name:			Your E-mail:
Phone #:
Group Name:
Mailing Address:
Subject: ---Select--- Wildlife Expeditions Extended Expeditions Overnight Expeditions		Please type in theme: Wildlife, Extended, Overnight
If you have selected a Wildlife Expedition, do you want this at ---Select One--- YOUR LOCATION On Grounds - Zoo On Grounds - Museum
Preferred program time? We suggest choosing a time toward the end of your visit.
First choice date: Second choice date:
Would you like to receive our EdZoocation Newsletter? ---Select--- NO YES
If you are a school group and you are planning on visiting the zoo or museum, have you completed your online group reservation form?
Grade/Age			# of Participants:
# of Adult Chaperones:
Does your group need special accommodations? ---Select--- YES NO If yes, we will contact you for details.
Billing Information Groups may choose to pay in advance or be billed for the program fee. For information on program fees please refer to the program you specified above. Note: If your group chooses to be billed for the program, late fees will incur after 30 days of the program date.
Payment Preference:			Will pay in advance Please invoice group
Thank you for using the Rolling Hills school group online registration form.

RHWA
Education Department
625 N. Hedville Rd.
Salina, Ks 67401
785-827-9488 ext. 117