Experiences

Virtual Classroom Chat Request Form

Wild Walks reservations must be made at least 5 WEEKS prior to program date. Non-Refundable deposit of $50 is due at the time of reservation. Final head count is due 4 WEEKS before your scheduled program.

*Organization Name:

*Type of Organization:

(school, daycare, scouts, etc.)

*Organization Street Address:

*Organization City:

*Organization State:

*Organization Zip Code:

Organization County:

*Main Contact First Name:

*Main Contact Last Name:

*Main Contact Email:

*Main Contact Phone:

Are you a tax exempt organization?

Yes
No
Not Applicable

*Are you a Title 1 School?

Yes
No
Not Applicable

Program Theme:

Please choose program theme appropriate for grade level.

K-5th: Amazing Adaptations
6th- 8th: Food for Thought
9th-12th: Living Laboratory

*First Preferred Date:

*Second Preferred Date:

*Preferred Start Time:

30 minute program

*How many students will be participating?

30 students max. per session

*Do you have a preferred method of virtually hosting this program?

If not, we will host on our Zoom account.

Today

Experiences