School Program Request Form

You are here:

Name *

First

Last

Phone *

Email *

Name of School or Organization *

School or Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

School or Organization Phone *

Grade Level(s) *

Number of Students *

Program Type *

Select Program *

Ecosystem Sweet Ecosystem (2nd-8th)
Five Freedoms (2nd-6th)
Science of Scent (5th-8th)
Helping Hands (6th-12th)
Animal Senses (K5-2nd)
Winter Tracking (3rd-6th)
Healthy Hike by Snowshoe (7th-12th)
Early Childhood Encounters (K3-K5)

Select Program *

Hannah’s Haven (2nd-5th)
No More Bullying (3rd-5th)
Teacher’s Pet (K-12th)
Animal Senses (K5-2nd)
Five Freedoms (2nd-6th)
Science of Scent (5th-8th)
Haws 4 Paws (5th-8th)
High interest day (5th-8th)

Please list 3 dates that you would be available for this program *

Are you in need of financial assistance for program costs or transportation?

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