Youth Program Request Form

What organization are you with?*

Address*

Cellphone #*

Email*

Please list your preferred date (if possible, please list up to three options)*

What are the best time(s) for your program?*

Number of anticipated guests?*

Age range for children in the program?

Our program fee is $150 for a 1-hour program at your site (up to 30 students per program, can do multiple programs per day) or $200 for a 2-hour program at our Nature Center (up to 30 students per program, can do multiple programs per day). We have scholarships for groups that are 50% or more Free & Reduced Lunch. Would you qualify for a scholarship?

Please share any special accommodations your group may need.