Zoo New England Community Access Program
Community Access Program Admission Request Form
Thank you for your interest in Zoo New England's Community Access Program. Please fill out all the information below and be aware of the following:
* This form needs to be submitted at least
prior to your planned visit
to the Zoo.
* An incomplete form will result in the rejection of your request.
of 20 free admissions are available per group.
The Zoo will consider all application from the types of organizations listed below:
~ 501c3 Non-profit Organizations or Community-based Organizations
~ Public, Private, Charter or Parochial Schools
~ Licensed Day Care Centers
~ Licensed Summer Camp Programs
~ City, Township or County Municipalities (including Public Libraries)
* Denotes required fields
* Organization Country:
* Organization Name:
* Organization Type:
Advocacy Organizations Influencing Public Opinion
Conservation, Environmental and Beautification
Cultural, Historical or Other Educational Organizations
Education, Schools, Colleges and Related Organizations
Farming and Related Organization
Health Services, Wellness and Related Organizations
Inner City or Community Organizations
Other Activities Directed to Individuals
Other Instructions and Training Organizations
PTA and Booster Clubs
Religious and Faith Based Organizations
Scientific Research Organizations
Youth and Family Organizations
* Name of Benefit Fund:
(i.e. John Doe Benefit)
Partner Bank or Credit Union:
(partnering with benefit)
* First Name:
(i.e. CEO, President, Executive Director, or Development Officer at the Organization)
(No PO boxes please)
* Primary Email:
* Primary Phone:
* Mission Statement:
Requester Contact Information
* First Name:
* Email Address:
* Primary Phone:
* Title/Relationship to Organization:
Type of Organization
Youth Development Program
Hospital or Health Agency
What type of cause does your organization support?
Arts, Culture and Humanities
Religion or Faith
Sports and Recreation
Social Action and Advocacy
Food, Agriculture, Nutrition
Is there a fee for attending your program?
If yes, do you offer scholarships?
Please provide a brief description of your organization
Describe the mission of your organization
What demographic or audience do you serve?
How will the population you serve benefit from visiting Zoo New England?
Is your organization interested in partnering with Zoo New England?
If so, in what ways do you see our organizations partnering?
Which Zoo would you like to visit?
Franklin Park Zoo
One chaperone is required for every 10 children/teens. The chaperone should be reflected in your request. Your Total ZooCAP Headcount for the number of free tickets you can request is a maximum of 20. DO NOT include your additional group attendees in this count.
TOTAL ZooCAP Headcount (20 MAX)
Age breakdown of group
Under 2 (Free)
If you are expecting more than twenty people to attend, please include them below. These additional guests are not counted in your ZooCAP ticket donations so you will be charged the standard group rate. Your group booking can include more than 20 visitors, however, your TOTAL ZooCAP headcount should be no more than 20.
Age breakdown of additional attendees
Total Group Visit Headcount
Additional - Under 2 (Free)
Additional - Child (2-15) / $11
Additional - Adult / $17
Additional - Senior (62+) / $14
Available times to visit the Zoo are
Summer hours (April 1 - Sept. 30) Weekdays: 10:00 a.m. - 5:00 p.m. and weekends, holidays 10:00 a.m. - 6:00 p.m. Winter hours (Oct. 1 - March 31) Daily 10:00 a.m. - 4:00 p.m.
Please provide three days and times your group would be able to visit the Zoo
First Choice Date
Second Choice Date
Third Choice Date
Attach a Document:
Please attach the following documents:
• Certified 501(c)(3) document (Not Tax-Exempt form)
• Documents that describe your event, or any other related document.
(Click on Browse button to attach multiple documents. Files will be uploaded when you click submit. A maximum of three attachments will be saved. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 4MB.)
Please enter the contact name of the person at this organization who requested you to submit your request. Leave blank if no one referred you.
Submission of this request does not guarantee that your request will be fulfilled.
To review the status of your request at any time, please login with your user name and password, which will be emailed to you shortly. Status of requests will not be received over the telephone.
This request system has been implemented to decrease our carbon footprint and to help protect our environment. We appreciate your support. Thank you.
I confirm that I am 14 years or older
Please enter the code above in the text box
If you have any questions, please feel free to email email@example.com or call Zoo New England at 617-541-LION (5466)
a service of www.Events.org