Education Kit and Specimen Rental Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Museum staff will confirm your request within 2 weeks. Payment for all rentals will be due upon pickup.

Name *

Email *

Phone #

School or Organization

If applicable

Grade level(s) of students using the resources *

Total number of people using the resources? *

Does your school include a large percentage (over 50%) of students eligible for the federal free and reduced price meal program?

Yes

Clear selection

Which resource(s) were you interested in renting? *

Ohlone Kit ($15 per week)

Animal Kit ($15 per week)

Wetland Walk Kit ($15 per week)

Nature Rangers Kit ($15 per week)

Watershed Walk Kit ($15 per week)

Great Horned Owl ($10 per week)

Mallard Duck ($10 per week)

Northern Shoveler Duck ($10 per week)

Coyote ($10 per week)

Golden Eagle ($10 per week)

Fossil Kit ($10 per week)

Rock Kit ($10 per week)

Ohlone Mortar and Pestle ($10 per week)

Basket Set ($10 per week)

Other:

Required

Preferred Rental Date?

YYYY

Alternate Rental Date

YYYY

Would you like us to know anything else?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Santa Cruz Museum of Natural History.