2020 Outreach Reservation Form
As of January 1, 2018, we will no longer be accepting over the phone or email reservations.

If you do not hear from our Education Coordinator within two weeks of filling out this form, please let us know by calling 920-448-5150 x 102 or emailing education@heritagehillgb.org
Email *
School or Organization *
Street Address *
City *
State *
Zip *
Teacher (Contact Person) *
School Phone *
Emergency Contact Number (Cell Phone) *
This will only be used if needed to contact you in an emergency.
Grade *
Estimated # of Students *
# of Teachers *
# of Aides *
Does your class have any special needs? *
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