Community Program Request
Please complete this form to request a group program, including guided tours and off-site workshops. Please visit our website (www.mitchelllake.audubon.org) for Academic Programs, Scout Programs, and Classroom Education Programs (including guided tours for students).
Group or Organization Name
Your answer
Contact Information
Please proved the name, phone number, and email address of the adult representative for the group.
Your answer
Which category best describes your requested program?
Location of requested program
If off-site, what is the name of the event?
Your answer
If off-site, please provide a full address including zip code
Your answer
For off-site programs, are there forms that must be filled out by Mitchell Lake prior to the event?
For off-site programs, is there a cost associated for Mitchell Lake's participation?
Requested program date(s) and time(s)
Request must be submitted at least two (2) weeks in advance of the program date.
Your answer
Please provide alternate date/time
Your answer
Number of adult participants
Number of child participants
Ideally, what topic(s) would you like covered in your program? (please note, we are only able to customize programs as it relates to our mission).
Questions/Comments
Your answer
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