Urban Ecology Center- Private Program Request Form

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Thank you for your interest in connecting people in cities to nature and each other with UEC programming. Please take a moment to tell us more about your group and interests, so that we can best serve you. Program requests require a 2 week notice.

Your Name: *

Your phone number:

Your email address:

Which program themes are you interested in? *

When are you interested in a program with the UEC? (date & time frame please) *

Which Urban Ecology Center program location would you like your group to visit?

* Please note- some programs are space specific, for example: Rock Climbing can only occur at our Riverside Park location.

Menomonee Valley Urban Ecology Center: 3700 W Pierce St Milwaukee WI 53215

Riverside Park Urban Ecology Center: 1500 E Park Place Milwaukee WI 53211

Washington Park Urban Ecology Center: 4023 W Galena St. Milwaukee WI 53208

Required

The name of your group: (Example: UEC Book Club, Green Scouts group, UW Milwaukee badminton association) *

Number of participants in your group: *

Group Age Range: *

ages 4 & under

ages 4 to 6

ages 7 to 11

ages 12 to 16

ages 16 to 18

ages 18 to 24

ages 25-40

ages 40+

Required

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