PROGRAM REQUEST FORM
Please complete the following form to begin the process of confirming the Lemur Conservation Foundation's program: AM I LIKE A LEMUR?  We will do our best to schedule your group, however; scheduling is based on the availability of staff and volunteers.

COST:
FREE, but donations are welcomed.

REQUEST TIMELINE:
Please understand when requesting this program, we will need at least one month notice.  This is our most popular FREE program.  Advanced notice increases your chances of successfully scheduling a program, but each request is considered based on the availability of staff and volunteers.

CONTACT:
Any additional questions should be directed to LCF's Education Manager at akoproject@lemurreserve.org.
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Name of School or Organization *
Brief description of program participants (including age range or grade level) *
Name and title of person making request *
Your phone number *
Your email *
Preferred program date *
MM
/
DD
/
YYYY
Is there any flexibility with the selected date above? *
Alternate Date(s): Please list any alternative date information below in order for us to best help schedule your program.
Group Size *
Venue Name and Address *
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