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Presentation Form
Alaska Wild Bird Rehabilitation Program
PO Box 521317, Big Lake, AK 99652-1317
907-892-AWBR (2927)
www.akwildbird.org
education@akwildbird.org
EIN # 14-1958727
Requests for presentations should be made at least TWO weeks in advance of the program date.
After form is submitted we will contact you with details.
Payment can be made by credit card, cash, or check (payable to: AWBRC).
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Email
*
Your email
Organization
*
Your answer
Contact Name
*
Your answer
Phone Number
*
Your answer
Email
Your answer
Billing Address
*
Your answer
Program Date Request
*
MM
/
DD
/
YYYY
Program Date (Backup/2nd Choice)
MM
/
DD
/
YYYY
Program Time Preference
*
Time
:
AM
PM
Program Time (Backup/2nd Choice)
Time
:
AM
PM
Program Location
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Your answer
Audience Age? Grade? Description?
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Your answer
Audience Size
*
Your answer
Special Requests or Considerations
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Presentation Style
Sit Down
Walk By
Other:
Choose a Presentation
LIVE BIRD PRESENTATION: Red Tailed Hawk
LIVE BIRD PRESENTATION: American Kestrel
LIVE BIRD PRESENTATION: Barn Owl
IN-PERSON (virtual live bird) EDUCATION PROGRAM
IN-PERSON (no bird) EDUCATION PRORAM
VIRTUAL EDUCATION PROGRAM - Great Gray Owl
VIRTUAL EDUCATION PROGRAM - Bird Migration Power Point
Clear selection
If you choose "In-Person (virtual live bird)" list presentation topic and virtual bird
Your answer
If you choose "In-Person (no bird)" list presentation topic
Your answer
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