Serpentarium Outreach Program Request Form
Please contact us via email at edistoserpentarium@gmail.com with questions.
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Email *
Company or Group Name *
Contact Name: *
Venue Address: (Must Include City/State/Zip to be valid) *
Contact Telephone (include extension if needed) *
Program Date and Time *
First Choice (no date is booked until confirmed with an invoice from our staff). Must allow 30 minutes - 1 hour for setting up.
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Time
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Program Date and Time *
Second Choice (no date is booked until confirmed with an invoice from our staff.) Must allow 30 minutes - 1 hour for setting up.
MM
/
DD
/
YYYY
Time
:
Are you trying to book multiple programs? Give us detailed information here so that we can work in getting you scheduled.
Program Desired:  (Please select only one show here) *
All programs are approximately 45 minutes to 1 hour. Please specify if you need a longer show so that we can adjust and plan accordingly.
Additional Programs (select all that applies)
This is an add on to your program choice above. This will add onto the time and the pricing of the invoice.
Additional information that we will need to know. Who this program will be for? (ages, grade, company group, etc). Where will set up be? (indoors, outdoors, covered or non covered). Approximate amount of people the program will be expected for? *
Covid Policy/Guidelines--Please provide us with any and all information that we need to know concerning your policy due to Covid. We would like to keep everyone safe and comfortable. *
Additional Fee Information (please check all) *
Required
Program Changes and Refunds (please check all) *
Required
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