Release-a-Raptor Request Form
Thank you for your interest in our Release-a-Raptor Program. We look forward to arranging this one-of-a-kind experience for you!
If you have questions about Release-a-Raptor, please contact Carly Smith.
Carly Smith Ouzts
couzts@carolinaraptorcenter.org
(704) 875-6521 x 213
* Required
Contact Information
First and Last Name
*
Your answer
Best Number to Reach You
*
Your answer
Email Address
*
Your answer
Release Information
I would like my release on:
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MM
/
DD
/
YYYY
Time
:
AM
PM
Are you flexible with the date and/or time of the release?
*
Yes
No
Possibly
Purpose of raptor release?
*
(i.e. wedding, birthday, etc.)
Your answer
Address of Release Site
*
Your answer
Donation Amount
*
Minimum donation of $250 required.
Your answer
How did you hear about our Release-a-Raptor program?
*
Your answer
Please check if you would like to add any additional offerings from the list below.
*
These offerings are an additional cost that may be discussed with the Release-a-Raptor Coordinator.
Adopt-a-Bird
Membership
Education Program
Exhibit
No thank you
Required
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