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 *
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).
If off-site, please tell us the name of your event and briefly describe your 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
Expected number of adult participants *
Your answer
Expected number of child participants *
Your answer
Questions/Comments
Your answer
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