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Youth Outreach: Speaker Request Form
Would you like a speaker to come talk about the Wildlife Center of Silicon Valley, wildlife animals, the rehabilitation process and other related topics? Please fill out and submit this request form to be considered for a speaker. Our Outreach Manager will contact you after receiving your submission.
Group Contact Information
Name, Email, Phone Number, Best time to reach you
Please provide group contact information here:
Name, Type of Organization, Age range, Number of expected participants, Address where presentation will occur
Please provide group information here:
Program Topic Request
The History of the Wildlife Center of Silicon Valley
How to live in harmony (coexist) with wildlife
What to do if you find a baby animal
What to do if you find an injured animal
Reasons why animals are injured
Wildlife vs. Pets
Examples of medical treatment and rehabilitation
The Rehabilitation Process
Common wildlife Injuries
Habitat loss and destruction
How kids/youth can make a difference for wildlife
All Wildlife Animals
Is there a specific reason for this speaker request? (ex: Teaching unit, student interest, special event)
What do you hope your group gets out of this program (speaker)? Are you interested in activity options or would you prefer an informational presentation?
The animals admitted to WCSV are patients and must have minimal human interaction in order to remain wild and be successfully released. For this reason, we cannot bring live animals to the presentation. We can bring animal artifacts from past patients for educational purposes. We ask that the group leader decide what is appropriate for their program and audience. Please indicate what you would like us to bring below.
Feathers and Snake skins
Preserved body parts such as talons, feet, wings...
taxidermy birds (barn owl, great horned owl, flicker, or hawk)
Nesting from different birds and squirrels
Will we have access to:
A projection screen/white wall
Projector (to hook up to a laptop)
Any other questions, comments, concerns or requests?
Once you have submitted this request form, our Outreach Manager will contact you.
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