Teacher Workshops Application, Fall/Winter 1997-98

Name________________________________ Grade Level_____________

School___________________________ Region#/District #_________

School Address_______________________________________________

City/State/Zip_______________________________________________

Home Address_________________________________________________

City/State/Zip_______________________________________________

Day Phone / Evening Phone____________________________________

Check the Appropriate Line:
 ____Chicago Public School ____Parochial School 
 ____Suburban School       ____Private School

Program Name_________________________	Date(s)________	Fee____

Program Name_________________________	Date(s)________	Fee____

Program Name_________________________	Date(s)________	Fee____

Duplicate form to list more workshop titles. 
Only one teacher per form. 
Make copies of form for other teachers.

______Send me information about zoo membership.


Zoo Tour/Exhibit Activity Application 
Fall/Winter 1997-98  (Available November-February)
Name of School_____________________ Region#/District #________

School Address________________________________________________

City/State/Zip________________________________________________

Contact Name__________________________________________________

Names and grades of attending teachers:

____________________________________________Grade ____________

____________________________________________Grade ____________

____________________________________________Grade ____________

School Phone _________________________________________________

Contact's Home Phone__________________________________________

Total # of Students ____________________

Total # of Adults ______________________

Total # of Buses _______________________

Zoo Tour/Exhibit Activity Name ________________________________
 
List Three Alternate Dates:

1st________________2nd______________________3rd________________

_____Send me information about zoo membership.

To apply for any teacher workshop, tour, or exhibit activity, 
print this page, complete the appropriate application form 
and mail to:

Lincoln Park Zoo
Education Department
P.O. Box 14903
Chicago, IL 60614
or FAX to 312/742-2040
Teachers will receive confirmation letters.