Request a Group Program
Contact Person (First and Last Name) *
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Contact Home/Work/Cell Phone number: *
Enter the best number to reach you.
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Email: *
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Group Name: *
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First Date Preference *
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Second Date Preference *
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Start Time *
Time
:
End Time *
Time
:
Activities requested: Environmental Education *
You may select more than one option. If you are not requesting an Environmental Education program, please select the first option.
Required
Activities requested: Outdoor Skills *
You may select more than one option. If you are not requesting an Outdoor Skills program, please select the first option.
Required
Activities requested: Park Programming and Interpretation *
You may select more than one option. If you are not requesting a program from Park Programming and Interpretation, please select the first option.
Required
Program Location: *
Additional Details About the Program:
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Number of Participants: *
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Grade Level/Age(s) of Children: *
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Number of Adults: *
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Number of Cars/Buses:
Please indicate if there will be buses, cars or both
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Are participants residents of Lucas County? *
Nature Express:
For Lucas County School Districts, does your school have greater than 40% of your students receiving free or reduced lunches?
Any participants with disabilities or special needs?
Metroparks can accommodate a wide range of physical and cognitive disabilities. If there are any students or adults that have disabilities that need special accommodations, please indicate here.
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Address: *
Street Number and Street Name
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Address: *
City/State/Zip
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Reservation taken by:
(Office use only)
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