Print and Send Adoption Form

For a complete list of all animals available for adoption, please go to:

 

www.lincolnzoo.org/adoptions.php

 

Please send this completed form along with your payment to:     

Lincoln Children's Zoo, 1222 South 27th Street, Lincoln, NE  68502

Today's Date:  ______ / ______ / ____________

My Name ________________________________________________
My Address ____________________________________________________________
City___________________________________ State________ Zip________________
Phone ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___

I'm Adopting __________________________________________

This adoption is a gift.     YES   /   NO   A Gift from: _______________________________________

(Please complete Adoptive Parent name and address information below or select a payment type)

Adoptive Parent(s) Name _______________________________________________
Address ______________________________________________________________
City__________________________________ State________ Zip________________
Phone ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___

PAYMENT:     My total is  $ ____________________________________

____ CHECK (Payable to Lincoln Children's Zoo)    ____ VISA     ____ MASTERCARD    ____ DISCOVER CARD

Card # ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ 
Expiration:  ___ ___ - 20 ___ ___   Signature _________________________________________

Thank You for thinking of the Zoo!