Please complete the items below to request a Bug Zoo visit. Visit Type * In-person at UTBZ or request other location, please specify. Dates and Times Requested * First and Last Name * Organization, if applicable Email Address * Phone Number * May we text this number? * Yes or No Mailing Address Attendee Information Number of Attendees * Age Range * Special Needs or Comments Topic or Curriculum Requested CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.