Request a Booking

Please fill out this form completely for each class or program you wish to register.

Completion of this information is required in order to book a program at the Shubenacadie Wildlife Park. Only provide the information necessary to reach you by your preferred contact method. We do not retain or distribute this information for any other purpose than to provide you with a response, or to contact you in case of a programming conflict or cancellation.

Note: The Shubenacadie Wildlife Park can usually accept two bookings per day. If the date you want is marked "Facility Unavailable", please select another date or call the Shubenacadie Wildlife Park at (902) 758-7094.

All fields are required unless they are marked optional.

Teacher / Leader

*Name:

*Last Name:

*Email Address:

*Mailing Address:

*City:

*Postal Code:

*Contact Phone Number:

Secondary Number:

(optional)

*Organization Name:

*Grade/Learning Level:

*Group Size:

(approx)

*Program:

*Possible Dates and Time:

(Please enter 2-3 dates when you availability for the program, along with your preferred time)

Special Accommodations / Questions:

(optional)