Instructions

Fill out the form below and return it to any Lincoln public library after December 15, 2007. The Lincoln Safari begins January 1 2008. Registration begins on December 15, 2007 with five winter spots.

* = Required Field

Group or Family Name: *

Number of adults in group: *

Number of children in group:

Ages of adults:

Ages of children:

Contact Person’s First Name: *

Contact Person’s Last Name: *

Street address: *

City: *

State: *

Zip: *

Telephone: *

Email:

Will you need public transportation: *

What Ethnicities Are Represented In Your Group *

If Other - Please Specify:

In order to learn how well the program works, we are also asking you to complete the following brief survey and fill out a final survey at the end of the project. This group data will be not be used for marketing, but will be used to determine program effectiveness and may be shared at science and zoo-related conferences and in publications.

To evaluate this project we will be collecting data on:

On average, how much time did you spend together out of doors during 2007? *

Approximately how many Lincoln city parks and outside recreation areas (e.g. Pioneer Park, Lincoln Children’s Zoo, Hyde Observatory, Star City Shores) did you visit in 2007? *

How important is it for you to spend time together outdoors? *