Program Interest Form

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Note: completion of this form does not guarantee that we will be able to schedule a program with you.

This information will help us in our decision making process as we review which programs we are able to take on in 2026.

Following your response, I will place your name on our "waiting list" and reach out in January 2026 with updates and further information regarding our scheduling process and availability.

For more information about possible program offerings, please read through this document: Possible Program Offerings

For any questions in the meantime, please email outreach@thecaterpillarlab.org or call us at 603-876-5057

Email *

Organization Name

Organization Address *

Address of Program/Exhibit Location *

Your Contact Information - please include name, role at your organization, phone, email, and preferred method of contact *

Secondary Contact Information (Name, Title, Phone, Email)

Desired Program Length - please select all that may apply *

<3 hours

3 - 5 hours

6 - 8 hours

Multiple days

Required

Preferred Dates *

If you have a specific date in mind, please share it below. If you are more flexible, please give us a general timeframe (e.g. "anytime in the summer" or "a week in July" or "some Wednesday evening in May" etc.)

Expected Audience Size (any estimate is helpful; e.g. two classes of 10 students, or ~500 drop-in visitors) *

Expected Audience Demographics (e.g. older adults, families, schools, birders, garden club members, etc.) *

Preferred Program Type *

Want more info? Please check out this document: Possible Program Offerings

Free Exploration (museum-style, our staff as docents; includes small programs, large programs, and residencies)

Lecture/Talk

Outdoor Walk

Mothing Evening

Directed Programming (our staff running through a lesson or activity)

Other (PLEASE DESCRIBE BELOW)

Second Choice Program Type *

Free Exploration (museum-style, our staff as docents; includes small programs, large programs, and residencies)

Lecture/Talk

Outdoor Walk

Mothing Evening

Directed Programming (our staff running through a lesson or activity)

Other (PLEASE DESCRIBE BELOW)

If you selected "other" above, please describe your idea here!

Budget Target or Concerns *

Please describe your budget and/or any concerns with pricing below - we are always happy to try to work with folks to find a budget that works for everyone!

Other Considerations *

Please provide any restrictions or considerations you may have regarding the program. For example, "we'd prefer an outdoor program" or "our visitors love hands-on activities."

If we are not able to schedule a program with you in 2026, would you still be interested in programming in 2027? *

Yes

Maybe

Is there anything else you'd like us to know?

A copy of your responses will be emailed to the address you provided.

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