Experiences

Virtual Wild Walk Request Form

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

*First Preferred Date:

*Second Preferred Date:

*Preferred Program Choice:

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

*Preferred Start Time:

45 minute program

*How many students will be participating?

30 students max. per session

*How many adults will be participating?