Raptors Are The Solution Program Contact Form

School/Organization Name

(If applicable, what is the name of your school or organization?)

Contact Name

(Who will be the primary contact for this experience?)

Email

School Aged Groups: Grade Level(s)

(If applicable, what grade(s) will be attending?)

School Aged Groups: Number of Students & Chaperones:

(If applicable, how many students and chaperones will be attending?)

Preferred Date & Time 1st Choice

(When would you like to schedule your visit? Please provide 2-3 date options if possible.)

MM

DD

YYYY

Preferred Date & Time 2nd Choice

(When would you like to schedule your visit? Please provide 2-3 date options if possible.)

MM

DD

YYYY

Preferred Date & Time 3rd Choice

(When would you like to schedule your visit? Please provide 2-3 date options if possible.)

MM

DD

YYYY

Program Focus/Goals:

(Do you have any specific learning objectives you'd like us to focus on during this program?)

Optional Add-Ons:

(Would you like to include an Owl Pellet Dissection Activity or *Spring Nest Walk ? (Nest Walk is only available April-June)

Additional Requirements or Accommodations

(Does your group have any special requirements, such as a Spanish-speaking presenter, accessibility needs or other accommodations?)

How Did You Hear About Us?

(This can help with fundraising, outreach and marketing analysis.)

Message

(Anything else you would like us to know?)