ECWR Birthday Party Request Form
Thank you for your interest in booking a birthday party with Emerald Coast Wildlife Refuge! If you have any questions while filling out this form, please reach out to ECWR's Educator at emma@emeraldcoastwildliferefuge.org!
This form is for birthday parties only! If you are requesting a different event, please visit the appropriate tab on the private events website page.
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Contact Information
Once we have received your event request form, we will be in touch with confirmation or clarification of details. Please include the contact information for the point of contact for this event!
Name *
Address (This is the address that the invoice will be sent to. Please use the following format: Street Address, City, State, Zip Code) *
Phone Number (Please indicate if this is a cell phone or landline number!) *
Email Address (This is our primary form of communication - please double check and ensure that the spelling is correct!) *
Event Details
Please answer the following questions to the best of your ability!
Preferred Date(s)
(Reminder: Please submit the field trip request form at least two weeks in advance from the earliest date you are requesting. At this time, birthday parties can only be requested for Saturday's. Please include any Saturday dates you are interested in. Our birthday parties are scheduled around existing events and personnel availability, so the more dates you include the better!)
 *
Preferred Start Time *
Birthday Child's Name *
How old is the birthday child turning? *
What is the birthday child's favorite color? *
What is the birthday child's favorite animal? *
Estimated Total Number of Guests (Reminder: If the total number is over 15, there is an additional $10 charge per person) *
Will there be any special needs participants? If so, what accommodations are suggested?  *
Which package theme are you interested in? (For details on each package, please visit the Private Events page on our website. Once you have chosen your package, a staff member will reach out to specify details involved with each package.) *
Which pricing package are you interested in? (For details on each package, please visit the Private Events page on our website.) *
How did you hear about ECWR's birthday party programs?
Thank you again!
This form will be submitted to Emma, our Conservation & Rehabilitation Educator. If you have any questions, comments, concerns, or wish to make any changes to your form submission, please reach out to her via email: emma@emeraldcoastwildliferefuge.org. You can also contact our Executive Director, Pascal, at director@emeraldcoastwildliferefuge.org!
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